Provider Demographics
NPI:1871397554
Name:CANALBERRY DRUGS INC.
Entity type:Organization
Organization Name:CANALBERRY DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:FEN
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-799-0668
Mailing Address - Street 1:13618 MAPLE AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4244
Mailing Address - Country:US
Mailing Address - Phone:718-799-0668
Mailing Address - Fax:718-799-0669
Practice Address - Street 1:13618 MAPLE AVE UNIT B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4244
Practice Address - Country:US
Practice Address - Phone:718-799-0668
Practice Address - Fax:718-799-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy