Provider Demographics
NPI:1871986497
Name:CAMERON, KAYCEE MAREE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KAYCEE
Middle Name:MAREE
Last Name:CAMERON
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 1:700 CANTON ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-3844
Mailing Address - Country:US
Mailing Address - Phone:315-393-2440
Mailing Address - Fax:315-393-1341
Practice Address - Street 1:700 CANTON ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-3844
Practice Address - Country:US
Practice Address - Phone:315-393-2440
Practice Address - Fax:315-393-1341
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist