Provider Demographics
NPI:1003246141
Name:SAGER, CAMTHI (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAMTHI
Middle Name:
Last Name:SAGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 EL CAJON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-2646
Mailing Address - Country:US
Mailing Address - Phone:619-286-3470
Mailing Address - Fax:619-286-2063
Practice Address - Street 1:6405 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-2646
Practice Address - Country:US
Practice Address - Phone:619-286-3470
Practice Address - Fax:619-286-2063
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist