Provider Demographics
NPI:1356317408
Name:SANTER, CAMERON RICHARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:RICHARD
Last Name:SANTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 1ST AVE NE
Mailing Address - Street 2:#111
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6087
Mailing Address - Country:US
Mailing Address - Phone:206-364-4547
Mailing Address - Fax:
Practice Address - Street 1:11300 1ST AVE NE
Practice Address - Street 2:#111
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6087
Practice Address - Country:US
Practice Address - Phone:206-364-4547
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH63279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist