Provider Demographics
NPI:1316224397
Name:STATON, KAMILA LEIGH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAMILA
Middle Name:LEIGH
Last Name:STATON
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 1:3434 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-6240
Mailing Address - Country:US
Mailing Address - Phone:256-413-1767
Mailing Address - Fax:256-413-7643
Practice Address - Street 1:3434 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-6240
Practice Address - Country:US
Practice Address - Phone:256-413-1767
Practice Address - Fax:256-413-7643
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14648183500000X
TN0000033804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist