MEDICARE: JOHN A CAMPBELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP041668L	PA

General Provider Information

NPI Number	:	1275972671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A CAMPBELL

Provider Business Mailing Address
First Line	:	1589 FRUITVILLE PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4005
Country	:	US
Telephone Number	:	717-396-6529
Fax Number	:	717-409-6686

Provider Business Practice Location Address
First Line	:	1589 FRUITVILLE PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4005
Country	:	US
Telephone Number	:	717-396-6529
Fax Number	:	717-409-6686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	11/28/2020

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Directions to “ JOHN A CAMPBELL ” Practice Location

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