Healthcare Provider Details

I. General information

NPI: 1982140257
Provider Name (Legal Business Name): CAM LE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 01/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 GEORGE RD SUITE 150
ROCKY POINT FL
33634-7411
US

IV. Provider business mailing address

4110 GEORGE RD SUITE 150
ROCKY POINT FL
33634-7411
US

V. Phone/Fax

Practice location:
  • Phone: 866-339-2787
  • Fax: 813-452-5200
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS40041
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: