Most Relevant Information
Provider Data
| NPI Number: | 1003303223 |
| Provider Name: | MADISON ALEXIS CAMERON PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2018 |
| Last Updated: | 10/28/2020 |
Provider Practice Location
11301 WILSHIRE BLVD RM 6042
LOS ANGELES
CA
900731003
Practice Location Phone/Fax
| Phone: | 4022698161 |
| Fax: |
Provider Mailing Location
11301 WILSHIRE BLVD RM 6042
LOS ANGELES
CA
900731003
Provider Mailing Phone/Fax
| Phone: | 3104783711 |
| Fax: |