Provider Demographics
NPI:1740451210
Name:COMPTON, JEFFREY RICHARD (PHARMD)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:RICHARD
Last Name:COMPTON
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 1:980 N SUSQUEHANNA TRL
Mailing Address - Street 2:
Mailing Address - City:SELINSGROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17870-7766
Mailing Address - Country:US
Mailing Address - Phone:570-374-0299
Mailing Address - Fax:570-374-6349
Practice Address - Street 1:980 N SUSQUEHANNA TRL
Practice Address - Street 2:
Practice Address - City:SELINSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-7766
Practice Address - Country:US
Practice Address - Phone:570-374-0299
Practice Address - Fax:570-374-6349
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045538L183500000X
CTCT9367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist