Provider Demographics
NPI:1639454390
Name:LAMPERT, JENNIFER D (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:D
Last Name:LAMPERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 WHITFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-2611
Mailing Address - Country:US
Mailing Address - Phone:812-372-4220
Mailing Address - Fax:
Practice Address - Street 1:735 WHITFIELD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-2611
Practice Address - Country:US
Practice Address - Phone:812-372-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2602422A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist