Provider Demographics
NPI:1902495047
Name:KARCH, KAMERON WILLIAM (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KAMERON
Middle Name:WILLIAM
Last Name:KARCH
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 VALLEY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BALL GROUND
Mailing Address - State:GA
Mailing Address - Zip Code:30107-4068
Mailing Address - Country:US
Mailing Address - Phone:770-735-6161
Mailing Address - Fax:
Practice Address - Street 1:470 VALLEY ST STE 100
Practice Address - Street 2:
Practice Address - City:BALL GROUND
Practice Address - State:GA
Practice Address - Zip Code:30107-4068
Practice Address - Country:US
Practice Address - Phone:770-735-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist