Provider Demographics
NPI:1962717900
Name:SINGH, ADAM JONATHON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JONATHON
Last Name:SINGH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:686 E CLAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08312-1952
Mailing Address - Country:US
Mailing Address - Phone:856-264-1735
Mailing Address - Fax:
Practice Address - Street 1:1900 DEPTFORD CENTER RD
Practice Address - Street 2:
Practice Address - City:DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-5624
Practice Address - Country:US
Practice Address - Phone:856-401-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO3317700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist