Provider Demographics
NPI:1609150770
Name:STAMPER, MICHAEL JOSEPH (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:STAMPER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 NE HOPKINS CT
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5622
Mailing Address - Country:US
Mailing Address - Phone:509-338-3800
Mailing Address - Fax:
Practice Address - Street 1:2560 NE HOPKINS CT
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5622
Practice Address - Country:US
Practice Address - Phone:509-338-3800
Practice Address - Fax:509-339-2702
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60153165183500000X
AK1978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist