Provider Demographics
NPI:1174952287
Name:CAMPTON, TARA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:MARIE
Last Name:CAMPTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 HIGH POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2447
Mailing Address - Country:US
Mailing Address - Phone:717-558-4151
Mailing Address - Fax:717-558-4161
Practice Address - Street 1:6416 CARLISLE PIKE STE 1900
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2884
Practice Address - Country:US
Practice Address - Phone:717-796-5781
Practice Address - Fax:717-796-5791
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045572L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist