Provider Demographics
NPI:1154419273
Name:ADKINS, JOHN M (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:ADKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528A RICE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-1839
Mailing Address - Country:US
Mailing Address - Phone:864-427-3700
Mailing Address - Fax:864-427-3900
Practice Address - Street 1:528A RICE AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-1839
Practice Address - Country:US
Practice Address - Phone:864-427-3700
Practice Address - Fax:864-427-3900
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist