Provider Demographics
NPI:1902210230
Name:GAMERO, ANA PATRICIA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:PATRICIA
Last Name:GAMERO
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 1:5414 ROTARY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6117
Mailing Address - Country:US
Mailing Address - Phone:301-865-0019
Mailing Address - Fax:
Practice Address - Street 1:5414 ROTARY AVE
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6117
Practice Address - Country:US
Practice Address - Phone:301-865-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-14
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD17033OtherPHARMACIST LICENSE