Healthcare Provider Details

I. General information

NPI: 1801956701
Provider Name (Legal Business Name): ADKINS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/03/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 STATE ROUTE 80
GILBERT WV
25621-1537
US

IV. Provider business mailing address

PO BOX 1537 PO BOX 1537
GILBERT WV
25621-1537
US

V. Phone/Fax

Practice location:
  • Phone: 304-664-8883
  • Fax: 304-664-9236
Mailing address:
  • Phone: 304-664-8883
  • Fax: 304-664-9236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberSP0550697
License Number StateWV

VIII. Authorized Official

Name: MR. RODNEY R ADKINS
Title or Position: OWNER
Credential: RPH
Phone: 304-664-8883