Healthcare Provider Details

I. General information

NPI: 1174546543
Provider Name (Legal Business Name): CAMPTON PHARMACARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MAIN ST SUITE 2
CAMPTON KY
41301-9750
US

IV. Provider business mailing address

33 MAIN ST SUITE 2
CAMPTON KY
41301-9750
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 TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07376
License Number StateKY

VIII. Authorized Official

Name: STEVE WHITAKER
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 859-585-4573