MEDICARE: MRS. CAMILLA FROST PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	27203	TN

General Provider Information

NPI Number	:	1265949341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAMILLA FROST PHARM.D.

Provider Business Mailing Address
First Line	:	2559 WILLOW POINT WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3162
Country	:	US
Telephone Number	:	865-560-0135
Fax Number	:	865-694-4489

Provider Business Practice Location Address
First Line	:	2559 WILLOW POINT WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3162
Country	:	US
Telephone Number	:	865-560-0135
Fax Number	:	865-694-4489

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2018
Last Update Date	:	01/07/2021

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