Provider Demographics
NPI:1033232392
Name:MEYERS, CYNTHIA J (RPH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:MEYERS
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 1:6363 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-5119
Mailing Address - Country:US
Mailing Address - Phone:520-571-9237
Mailing Address - Fax:520-748-2004
Practice Address - Street 1:6363 E 22ND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-5119
Practice Address - Country:US
Practice Address - Phone:520-571-9237
Practice Address - Fax:520-748-2004
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist