Provider Demographics
NPI:1003967597
Name:BYRNE, CYNTHIA MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MARIE
Last Name:BYRNE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:MARIE
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:210 KNOB CREEK LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9527
Mailing Address - Country:US
Mailing Address - Phone:717-600-0985
Mailing Address - Fax:
Practice Address - Street 1:512 BRINKER AVE
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1535
Practice Address - Country:US
Practice Address - Phone:888-273-0325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-16218183500000X
PARP034955R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist