Provider Demographics
NPI:1760254502
Name:STONE, CAMERON BARRETT (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:BARRETT
Last Name:STONE
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 1:429 MYSTIC BREEZE
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5052
Mailing Address - Country:US
Mailing Address - Phone:210-393-4671
Mailing Address - Fax:
Practice Address - Street 1:2020 HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2000
Practice Address - Country:US
Practice Address - Phone:254-699-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist