Provider Demographics
NPI:1629108980
Name:CAMMEYER, ARNOLD (BS (PHARM))
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:
Last Name:CAMMEYER
Suffix:
Gender:M
Credentials:BS (PHARM)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11022-0402
Mailing Address - Country:US
Mailing Address - Phone:718-423-7166
Mailing Address - Fax:718-423-0973
Practice Address - Street 1:2 WELWYN RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11022
Practice Address - Country:US
Practice Address - Phone:516-817-4172
Practice Address - Fax:718-423-0973
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022792-11835G0303X
FLPS383281835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric