=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811996374
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EILEEN M KEMPTON RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2005
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9601 STEILACOOM BLVD SW
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98498-7213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-756-2363
-----------------------------------------------------
Fax | 253-756-3950
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6715 47TH STREET CT W
-----------------------------------------------------
City | UNIVERSITY PLACE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98466-4955
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-566-9482
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PH00010334
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------