Provider Demographics
NPI:1639779325
Name:HANKSTON, CINDY (PHARM D)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:HANKSTON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 PAYNE RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-8928
Mailing Address - Country:US
Mailing Address - Phone:207-883-3617
Mailing Address - Fax:207-883-3910
Practice Address - Street 1:440 PAYNE RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-8928
Practice Address - Country:US
Practice Address - Phone:207-883-3617
Practice Address - Fax:207-883-3910
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist