Healthcare Provider Details

I. General information

NPI: 1619813144
Provider Name (Legal Business Name): CAMEL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E MAIN ST
QUARTZSITE AZ
85346-0435
US

IV. Provider business mailing address

511 E MAIN ST
QUARTZSITE AZ
85346-0435
US

V. Phone/Fax

Practice location:
  • Phone: 928-669-9201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: OMAR INIGUEZ MORALES
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 928-669-7322