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Individual

CAMILLE WASIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
5160 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-7826
(928) 532-5502
Mailing address
1080 E OWENS APT 4, SHOW LOW, AZ 85901-6027
(928) 532-5502

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S023615
AZ

Other

Enumeration date
11/19/2018
Last updated
11/19/2018
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