Provider Demographics
NPI:1346632411
Name:DENICK, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:DENICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-6055
Mailing Address - Country:US
Mailing Address - Phone:703-282-5738
Mailing Address - Fax:
Practice Address - Street 1:10 CROOKED RUN PLZ
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-7004
Practice Address - Country:US
Practice Address - Phone:540-631-3291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA620107010352503183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician