Basic Information
| Provider Information | |||||||||
| NPI: | 1376875898 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CALAMAS | ||||||||
| FirstName: | TERESA | ||||||||
| MiddleName: | LIBERTY | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | CMR 402 BOX 1062 | ||||||||
| Address2: | |||||||||
| City: | APO | ||||||||
| State: | AE | ||||||||
| PostalCode: | 091800011 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 126 MISSOURI AVE | ||||||||
| Address2: | ATTENTION PHARMACY | ||||||||
| City: | FORT LEONARD WOOD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 654738952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5735960514 | ||||||||
| FaxNumber: | 5735961792 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2010 | ||||||||
| LastUpdateDate: | 10/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 26023413A | IN | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.