Provider Demographics
NPI:1568950202
Name:HOLBROOK, CINDY W (RPH)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:W
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LEA
Other - Last Name:WARHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1550 BARTON DR NE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2167
Mailing Address - Country:US
Mailing Address - Phone:256-620-3367
Mailing Address - Fax:
Practice Address - Street 1:1550 BARTON DR NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2167
Practice Address - Country:US
Practice Address - Phone:256-620-3367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12046183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist