Healthcare Provider Details

I. General information

NPI: 1730232893
Provider Name (Legal Business Name): CAMPTON PHARMACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MAIN ST. SUITE 2
CAMPTON KY
41301
US

IV. Provider business mailing address

PO BOX 1359
CAMPTON KY
41301-1359
US

V. Phone/Fax

Practice location:
  • Phone: 606-668-3153
  • Fax: 606-668-7203
Mailing address:
  • Phone: 606-668-3153
  • Fax: 606-668-7203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN WHITAKER
Title or Position: PRESIDENT /OWNER
Credential:
Phone: 606-668-3153