Provider Demographics
NPI:1770846644
Name:PALMER, CARMEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARMEL
Middle Name:
Last Name:PALMER
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 1:11330 51ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-7890
Mailing Address - Country:US
Mailing Address - Phone:253-853-4755
Mailing Address - Fax:253-853-1680
Practice Address - Street 1:11330 51ST AVE NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7890
Practice Address - Country:US
Practice Address - Phone:253-853-4755
Practice Address - Fax:253-853-1680
Is Sole Proprietor?:No
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60023756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist