Provider Demographics
NPI:1689949109
Name:KAMARA, PATRICK YANKU (PHARMD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:YANKU
Last Name:KAMARA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 BONNIE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-6787
Mailing Address - Country:US
Mailing Address - Phone:301-839-3431
Mailing Address - Fax:
Practice Address - Street 1:9200 DEWITT LOOP; OAKS PAVILLION
Practice Address - Street 2:FORT BELVOIR COMMUNITY HOSPITAL PHARMACY
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:571-231-3272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist