Provider Demographics
NPI:1497074975
Name:CINDERELLA-SMITH, LINDA (BS,RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CINDERELLA-SMITH
Suffix:
Gender:F
Credentials:BS,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 ROUTE 10 E
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1430
Mailing Address - Country:US
Mailing Address - Phone:973-584-4200
Mailing Address - Fax:973-584-7266
Practice Address - Street 1:107 ROUTE 10 E
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1430
Practice Address - Country:US
Practice Address - Phone:973-584-4200
Practice Address - Fax:973-584-7266
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01977800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist