Provider Demographics
NPI:1568567402
Name:HAMPSON, PAMELA L (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:HAMPSON
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 1:145 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2028
Mailing Address - Country:US
Mailing Address - Phone:614-890-4660
Mailing Address - Fax:
Practice Address - Street 1:1518 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3435
Practice Address - Country:US
Practice Address - Phone:740-687-1122
Practice Address - Fax:740-687-0195
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-12129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist