Provider Demographics
NPI:1417091976
Name:KEMPTON, NORMA S (RPH)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:S
Last Name:KEMPTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1668 RUSTLING DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8630
Mailing Address - Country:US
Mailing Address - Phone:904-579-5007
Mailing Address - Fax:904-529-8851
Practice Address - Street 1:3260 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-9364
Practice Address - Country:US
Practice Address - Phone:904-284-2002
Practice Address - Fax:904-529-8851
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist