Provider Demographics
NPI:1093934226
Name:PHILLIPS, CYNTHIA MCCAIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MCCAIN
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 EASTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-3309
Mailing Address - Country:US
Mailing Address - Phone:803-782-2876
Mailing Address - Fax:
Practice Address - Street 1:715 SUMTER ST CLS # 316C
Practice Address - Street 2:SOUTH CAROLINA COLLEGE OF PHARMACY AT USC
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29208-0001
Practice Address - Country:US
Practice Address - Phone:803-777-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC90911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy