Provider Demographics
NPI:1285940544
Name:CAMARCE, LULU ABARINTOS (RPH)
Entity type:Individual
Prefix:MRS
First Name:LULU
Middle Name:ABARINTOS
Last Name:CAMARCE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 W RAMSEY ST
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-4478
Mailing Address - Country:US
Mailing Address - Phone:951-849-8614
Mailing Address - Fax:951-849-2057
Practice Address - Street 1:806 W RAMSEY ST
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-4478
Practice Address - Country:US
Practice Address - Phone:951-849-8614
Practice Address - Fax:951-849-2057
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist