Provider Demographics
NPI:1194571331
Name:STAMPS, JEFFREY MITCHELL (RPH)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:MITCHELL
Last Name:STAMPS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 WATERFORD WAY
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-7545
Mailing Address - Country:US
Mailing Address - Phone:513-225-9005
Mailing Address - Fax:
Practice Address - Street 1:8210 WATERFORD WAY
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-7545
Practice Address - Country:US
Practice Address - Phone:513-225-9005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-15717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist