Provider Demographics
NPI:1639421142
Name:AGUILAR, CYNTHIA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARIE
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:AR
Mailing Address - Zip Code:72855-4019
Mailing Address - Country:US
Mailing Address - Phone:479-963-6400
Mailing Address - Fax:479-963-2103
Practice Address - Street 1:508 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-4019
Practice Address - Country:US
Practice Address - Phone:479-963-6400
Practice Address - Fax:479-963-2103
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68185183500000X
OR0014523183500000X
ARPD16416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist