Provider Demographics
NPI:1316126220
Name:ADKINS, WAYNE DANIEL SR (RPH)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:DANIEL
Last Name:ADKINS
Suffix:SR
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 1:6007 ALLENTOWN BLVD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-2602
Mailing Address - Country:US
Mailing Address - Phone:717-540-5893
Mailing Address - Fax:717-540-5663
Practice Address - Street 1:6007 ALLENTOWN BLVD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2602
Practice Address - Country:US
Practice Address - Phone:717-540-5893
Practice Address - Fax:717-540-5663
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044669L1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric