Provider Demographics
NPI:1316200629
Name:CHAMBERS, JEFFREY STEVEN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:STEVEN
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 CHANDLERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-4644
Mailing Address - Country:US
Mailing Address - Phone:740-454-2086
Mailing Address - Fax:740-453-3026
Practice Address - Street 1:1811 CHANDLERSVILLE RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-4644
Practice Address - Country:US
Practice Address - Phone:740-454-2086
Practice Address - Fax:740-453-3026
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2016-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03311646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist