Provider Demographics
NPI:1528559564
Name:PIKEY, CYNTHIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:PIKEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:M
Other - Last Name:HINKEBEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2295 BANNISTER RD
Mailing Address - Street 2:
Mailing Address - City:PARK HILLS
Mailing Address - State:MO
Mailing Address - Zip Code:63640-8130
Mailing Address - Country:US
Mailing Address - Phone:573-330-5998
Mailing Address - Fax:
Practice Address - Street 1:407 N STATE ST
Practice Address - Street 2:
Practice Address - City:DESLOGE
Practice Address - State:MO
Practice Address - Zip Code:63601-3053
Practice Address - Country:US
Practice Address - Phone:573-431-8563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO045096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist