Provider Demographics
NPI:1134698327
Name:SINGLETON, ADIA' BIANCA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADIA'
Middle Name:BIANCA
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GATEWAY BLVD UNIT 507
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5849
Mailing Address - Country:US
Mailing Address - Phone:843-906-7011
Mailing Address - Fax:
Practice Address - Street 1:1 THE PKWY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5026
Practice Address - Country:US
Practice Address - Phone:864-288-9334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist