Camille Wasiak, RPh
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Show Low, AZ. Individual provider (NPI-1).
NPI number1982173993
StatusActive
Last updated in NPPESNov 19, 2018
Details
- NPI
- 1982173993
- Entity type
- Individual (NPI-1)
- Name
- Camille Wasiak
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2018
- Last updated
- Nov 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | S023615 | AZ | Yes |
Practice location
5160 S White Mountain RdShow Low, AZ 85901-7826
Phone 928-532-5502
Mailing address
1080 E Owens Apt 4Show Low, AZ 85901-6027
Phone 928-532-5502
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