Provider Demographics
NPI:1639902364
Name:CHAMY, TAMIE LISA CHESTER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMIE
Middle Name:LISA CHESTER
Last Name:CHAMY
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 1:119 W BLUE WATER EDGE DR
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736-2254
Mailing Address - Country:US
Mailing Address - Phone:954-673-0230
Mailing Address - Fax:
Practice Address - Street 1:6251 CHANCELLOR DR STE 101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5684
Practice Address - Country:US
Practice Address - Phone:407-595-3729
Practice Address - Fax:401-652-1101
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist