Provider Demographics
NPI:1972205193
Name:CAMPTON PHARMACIST GROUP, LLC
Entity Type:Organization
Organization Name:CAMPTON PHARMACIST GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:859-585-1854
Mailing Address - Street 1:125 FOXGLOVE DR STE A
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9735
Mailing Address - Country:US
Mailing Address - Phone:606-668-2273
Mailing Address - Fax:606-668-7699
Practice Address - Street 1:797 KY 15 S
Practice Address - Street 2:
Practice Address - City:CAMPTON
Practice Address - State:KY
Practice Address - Zip Code:41301-9553
Practice Address - Country:US
Practice Address - Phone:606-668-2273
Practice Address - Fax:606-668-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy