Provider Demographics
NPI:1033928411
Name:CAMBRIA PHARMACY LLC
Entity type:Organization
Organization Name:CAMBRIA PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:CARMELLE
Authorized Official - Last Name:SANON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-470-2599
Mailing Address - Street 1:22404 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1739
Mailing Address - Country:US
Mailing Address - Phone:718-470-2599
Mailing Address - Fax:718-470-2590
Practice Address - Street 1:22404 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1739
Practice Address - Country:US
Practice Address - Phone:718-470-2599
Practice Address - Fax:718-470-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy