Provider Demographics
NPI:1619157971
Name:ELEK-MAYER, CYNTHIA LOUISE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:ELEK-MAYER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:CONNOQUENESSING
Mailing Address - State:PA
Mailing Address - Zip Code:16027-0018
Mailing Address - Country:US
Mailing Address - Phone:724-538-3669
Mailing Address - Fax:724-538-8738
Practice Address - Street 1:545 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:EVANS CITY
Practice Address - State:PA
Practice Address - Zip Code:16033-7833
Practice Address - Country:US
Practice Address - Phone:724-538-3669
Practice Address - Fax:724-538-8738
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032296L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist