Provider Demographics
NPI:1467573964
Name:HAMPTON, EUGENE JR (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:HAMPTON
Suffix:JR
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9338 AUTUMN RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-5003
Mailing Address - Country:US
Mailing Address - Phone:907-336-2924
Mailing Address - Fax:907-336-2925
Practice Address - Street 1:4315 DIPLOMACY DR
Practice Address - Street 2:INPATIENT PHARMACY DEPT
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5926
Practice Address - Country:US
Practice Address - Phone:907-729-2123
Practice Address - Fax:907-729-2135
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132931835P0018X
MD12371835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist