Provider Demographics
NPI:1518360213
Name:CAMP, SHERRI (RPH)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:CAMP
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 1:370 SENECA TRL
Mailing Address - Street 2:
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-1340
Mailing Address - Country:US
Mailing Address - Phone:304-645-1890
Mailing Address - Fax:304-645-1891
Practice Address - Street 1:370 SENECA TRL
Practice Address - Street 2:
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-1340
Practice Address - Country:US
Practice Address - Phone:304-645-1890
Practice Address - Fax:304-645-1891
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV5222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist