Provider Demographics
NPI:1972836047
Name:DEAMER, ROBERT L (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:DEAMER
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 WATERTOWN CT
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1976
Mailing Address - Country:US
Mailing Address - Phone:805-236-4941
Mailing Address - Fax:
Practice Address - Street 1:2060 TAPO ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3417
Practice Address - Country:US
Practice Address - Phone:805-522-3733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 0373701835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy