Basic Information
Provider Information
NPI: 1295834505
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEST
FirstName: CAMARO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10000 BAY PINES BLVD
Address2: BAY PINES VAMC PHARMACY (119)
City: BAY PINES
State: FL
PostalCode: 33744
CountryCode: US
TelephoneNumber: 7273986661
FaxNumber: 7273989506
Practice Location
Address1: 10000 BAY PINES BLVD
Address2: BAY PINES VAMC PHARMACY (119)
City: BAY PINES
State: FL
PostalCode: 33744
CountryCode: US
TelephoneNumber: 7273986661
FaxNumber: 7273989506
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XPS30249FLY Pharmacy Service ProvidersPharmacist 

No ID Information.


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