Provider Demographics
NPI:1235498692
Name:CHEN-CARMODY, CYNTHIA (PTCB)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:CHEN-CARMODY
Suffix:
Gender:F
Credentials:PTCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20418 26TH AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6966
Mailing Address - Country:US
Mailing Address - Phone:425-454-0146
Mailing Address - Fax:425-454-2980
Practice Address - Street 1:11919 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3023
Practice Address - Country:US
Practice Address - Phone:425-454-0146
Practice Address - Fax:425-454-2980
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVB00062026183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician