Healthcare Provider Details

I. General information

NPI: 1467377853
Provider Name (Legal Business Name): AUSTIN M SAMPSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 HENDERSON AVE
WASHINGTON PA
15301-1901
US

IV. Provider business mailing address

575 HENDERSON AVE
WASHINGTON PA
15301-1901
US

V. Phone/Fax

Practice location:
  • Phone: 724-225-1592
  • Fax: 724-225-1651
Mailing address:
  • Phone: 724-225-1592
  • Fax: 724-225-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460573
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: