Healthcare Provider Details

I. General information

NPI: 1295298198
Provider Name (Legal Business Name): CARL JOHN KEMPINSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 5TH AVE
CHAMBERSBURG PA
17201-4224
US

IV. Provider business mailing address

830 5TH AVE
CHAMBERSBURG PA
17201-4224
US

V. Phone/Fax

Practice location:
  • Phone: 717-709-7977
  • Fax:
Mailing address:
  • Phone: 717-504-8657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24971
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: