Provider Demographics
NPI:1427620806
Name:COMPTON & CRABTREE, INC.
Entity type:Organization
Organization Name:COMPTON & CRABTREE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-249-5641
Mailing Address - Street 1:157 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:PORTOLA
Mailing Address - State:CA
Mailing Address - Zip Code:96122-9606
Mailing Address - Country:US
Mailing Address - Phone:530-832-4218
Mailing Address - Fax:530-832-1375
Practice Address - Street 1:157 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:PORTOLA
Practice Address - State:CA
Practice Address - Zip Code:96122-9606
Practice Address - Country:US
Practice Address - Phone:530-832-4218
Practice Address - Fax:530-832-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1427620806Medicaid