Provider Demographics
NPI:1063838134
Name:CINEMMA PHARMACEUTICALS INC
Entity Type:Organization
Organization Name:CINEMMA PHARMACEUTICALS INC
Other - Org Name:EMMACARE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:888-639-3127
Mailing Address - Street 1:4130 FLAT ROCK DR
Mailing Address - Street 2:UNIT 150
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-5867
Mailing Address - Country:US
Mailing Address - Phone:888-639-3127
Mailing Address - Fax:888-638-7821
Practice Address - Street 1:4130 FLAT ROCK DR
Practice Address - Street 2:UNIT 150
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-5867
Practice Address - Country:US
Practice Address - Phone:888-639-3127
Practice Address - Fax:888-638-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 51824333600000X, 3336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA51824OtherBOARD OF PHARMACY PERMIT