Provider Demographics
NPI:1942293865
Name:CAMP, CRAIG LYNN (RPH)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:LYNN
Last Name:CAMP
Suffix:
Gender:M
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:PO BOX 2533
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-2533
Mailing Address - Country:US
Mailing Address - Phone:248-223-9734
Mailing Address - Fax:248-223-9737
Practice Address - Street 1:27762 FRANKLIN RD STE 3B
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-2300
Practice Address - Country:US
Practice Address - Phone:248-223-8734
Practice Address - Fax:248-223-9737
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist