Individual ProviderCamille HightowerPharmacistPharmacy Service ProvidersPractice Address5415 S Broadway Ave, Tyler, TX 75703-1397(903) 939-9298PECOS EnrollmentBased on the most recent information from CMS, provider Camille Hightower does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1891195152Provider TypeIndividualFull NameHightower, CamilleTitleMissCredentialPHARM.D, RPHGenderFemaleSole ProprietorYesEnumeration Date8/23/2014Last Updated8/23/2014Contact InformationPractice LocationPractice Address5415 S Broadway Ave, Tyler, TX 75703-1397Phone(903) 939-9298FaxUnlisted FaxMailing LocationMailing Address5415 S Broadway Ave, Tyler, TX 75703-1397PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense55056Texas