Provider Demographics
NPI:1215284161
Name:KAMEL, AMMAR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:KAMEL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 HILTON HEAD CT
Mailing Address - Street 2:1205
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-4599
Mailing Address - Country:US
Mailing Address - Phone:619-201-9638
Mailing Address - Fax:
Practice Address - Street 1:5504 BALBOA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2704
Practice Address - Country:US
Practice Address - Phone:858-495-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist