Provider Demographics
NPI:1215379920
Name:CAMELO, JULIANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:CAMELO
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 1:7527 E FAIR MEADOWS LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-6147
Mailing Address - Country:US
Mailing Address - Phone:864-201-9054
Mailing Address - Fax:
Practice Address - Street 1:1260 E TUCSON MARKETPLACE BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6508
Practice Address - Country:US
Practice Address - Phone:520-917-3105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist