Provider Demographics
NPI:1811306848
Name:SMITH, CAMILLE M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CAMILLE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1000 S CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4046
Mailing Address - Country:US
Mailing Address - Phone:410-752-9087
Mailing Address - Fax:410-752-1598
Practice Address - Street 1:1000 S CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4046
Practice Address - Country:US
Practice Address - Phone:410-752-9087
Practice Address - Fax:410-752-1598
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist