Provider Demographics
NPI:1932195583
Name:KUNDEL, CAMILLE FRANCES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:FRANCES
Last Name:KUNDEL
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 1:525 KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-2113
Mailing Address - Country:US
Mailing Address - Phone:651-329-7692
Mailing Address - Fax:
Practice Address - Street 1:1700 MILLER TRUNK HWY
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-5608
Practice Address - Country:US
Practice Address - Phone:218-733-4678
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118074-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist