Provider Demographics
NPI:1174813778
Name:BRASHER, CINDY (RPH)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BRASHER
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 1:4416 JEFF DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672-2642
Mailing Address - Country:US
Mailing Address - Phone:903-927-2926
Mailing Address - Fax:
Practice Address - Street 1:4416 JEFF DAVIS ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-2642
Practice Address - Country:US
Practice Address - Phone:903-927-2926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX358441835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric