Provider Demographics
NPI:1952901761
Name:MCCAMPBELL, SUSAN THOMES (RPH)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:THOMES
Last Name:MCCAMPBELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 SHIPWRECK DR
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:VA
Mailing Address - Zip Code:22844-3423
Mailing Address - Country:US
Mailing Address - Phone:540-335-1464
Mailing Address - Fax:
Practice Address - Street 1:171 BURGESS RD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3704
Practice Address - Country:US
Practice Address - Phone:540-433-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist