Provider Demographics
NPI:1134186695
Name:COX, TAMARA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:
Last Name:COX
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:UNIT 31301 BOX 23
Mailing Address - Street 2:DEPT OF PHARMACY
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09613
Mailing Address - Country:IT
Mailing Address - Phone:0113905-054-7338
Mailing Address - Fax:
Practice Address - Street 1:UNIT 31301 BOX 23
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09613
Practice Address - Country:IT
Practice Address - Phone:0113905-054-7338
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist