Provider Demographics
NPI:1184851768
Name:SCHROCK, CAMYN HERJE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CAMYN
Middle Name:HERJE
Last Name:SCHROCK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 411 BOX 2753
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-4028
Mailing Address - Country:US
Mailing Address - Phone:49151012-122-4454
Mailing Address - Fax:
Practice Address - Street 1:VILSECK HEALTH CLINIC
Practice Address - Street 2:ROSE BARROCKS BLDG 250
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:999-476-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15583183500000X
TX42359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist