Provider Demographics
NPI:1326754243
Name:CAMAZZOLA, PATRICIA ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:CAMAZZOLA
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 1:911 S OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1864
Mailing Address - Country:US
Mailing Address - Phone:313-506-9873
Mailing Address - Fax:313-885-6520
Practice Address - Street 1:911 S OXFORD RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1864
Practice Address - Country:US
Practice Address - Phone:313-506-9873
Practice Address - Fax:313-885-6520
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist