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NPI Code Detail

MEDICARE: CAMBRIA PHARMACY LLC

MEDICARE: CAMBRIA PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1033928411
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMBRIA PHARMACY LLC
Provider Business Mailing Address
First Line : 22404 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1739
Country : US
Telephone Number : 718-470-2599
Fax Number : 718-470-2590
Provider Business Practice Location Address
First Line : 22404 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1739
Country : US
Telephone Number : 718-470-2599
Fax Number : 718-470-2590
Authorized Official
Title or Position : PRESIDENT
Name : MARIE CARMELLE SANON
Credential :
Telephone Number : 718-470-2599
Provider Enumeration Date : 12/31/2024
Last Update Date : 01/02/2025

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Directions to “CAMBRIA PHARMACY LLC ” Practice Location

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