Individual
MR. ALBERT CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 INNER LOOP CR, ROOM 207- MARY WALKER CLINIC, FORT IRWIN, CA 92310-5109
(760) 380-3130
Mailing address
550 YUCCA AVE, APT J120, BARSTOW, CA 92311-3223
(808) 497-1776
(760) 380-1922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-1350
HI
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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