Provider Demographics
NPI:1073847430
Name:MARBURY, SAMANTHA FELDNER (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:FELDNER
Last Name:MARBURY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5031 MIDNIGHT VISTA AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4380
Mailing Address - Country:US
Mailing Address - Phone:505-514-1500
Mailing Address - Fax:
Practice Address - Street 1:4901 LANG AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4495
Practice Address - Country:US
Practice Address - Phone:505-822-3911
Practice Address - Fax:505-796-3592
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist