Provider Demographics
NPI:1477743029
Name:LOONEY, CYNTHIA MCCRAY (RPH, CGP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MCCRAY
Last Name:LOONEY
Suffix:
Gender:F
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 RIVER TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2241
Mailing Address - Country:US
Mailing Address - Phone:205-253-5601
Mailing Address - Fax:
Practice Address - Street 1:3415 RIVER TERRACE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2241
Practice Address - Country:US
Practice Address - Phone:205-253-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL102331835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric