Provider Demographics
NPI:1003100132
Name:CRUSER, CYNTHIA T (RPH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:T
Last Name:CRUSER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 WOOD HILL RD
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-4063
Mailing Address - Country:US
Mailing Address - Phone:401-789-3924
Mailing Address - Fax:
Practice Address - Street 1:20 WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3423
Practice Address - Country:US
Practice Address - Phone:401-741-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI3812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist