Provider Demographics
NPI:1831572551
Name:CAMPBELL, JAMES E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:CAMPBELL
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 1:129 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEDAN
Mailing Address - State:KS
Mailing Address - Zip Code:67361-1626
Mailing Address - Country:US
Mailing Address - Phone:620-725-3262
Mailing Address - Fax:620-725-3110
Practice Address - Street 1:129 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SEDAN
Practice Address - State:KS
Practice Address - Zip Code:67361-1626
Practice Address - Country:US
Practice Address - Phone:620-725-3262
Practice Address - Fax:620-725-3110
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist