Provider Demographics
NPI:1376784983
Name:CAMPBELL, DONALD H JR (RPH)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:H
Last Name:CAMPBELL
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 S FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5756
Mailing Address - Country:US
Mailing Address - Phone:302-698-3391
Mailing Address - Fax:
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:PHARMACY DEPT
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist