Healthcare Provider Details

I. General information

NPI: 1053488312
Provider Name (Legal Business Name): LEE ANN CAMPBELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 LINCOLN HWY
NORTH VERSAILLES PA
15137-2512
US

IV. Provider business mailing address

931 WESTMINSTER DR
NORTH HUNTINGDON PA
15642
US

V. Phone/Fax

Practice location:
  • Phone: 412-829-3200
  • Fax:
Mailing address:
  • Phone: 724-382-4016
  • Fax: 724-382-4017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP045462R
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14960
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202012954
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: