Provider Demographics
NPI:1134466071
Name:HARDEE, CYNTHIA AGNES (PHARM D)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:AGNES
Last Name:HARDEE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 HIGHWAY 119 STE 1400
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-5344
Mailing Address - Country:US
Mailing Address - Phone:205-663-3881
Mailing Address - Fax:205-663-7371
Practice Address - Street 1:9200 HIGHWAY 119 STE 1400
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-5344
Practice Address - Country:US
Practice Address - Phone:205-663-3881
Practice Address - Fax:205-663-7371
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist