Provider Demographics
NPI:1669844098
Name:WOOLFOLK, CINDY (RPH)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:WOOLFOLK
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 1:5050 EDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32254-3601
Mailing Address - Country:US
Mailing Address - Phone:904-370-6291
Mailing Address - Fax:904-783-5089
Practice Address - Street 1:5050 EDGEWOOD CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32254-3601
Practice Address - Country:US
Practice Address - Phone:904-370-6291
Practice Address - Fax:904-783-5089
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13244183500000X
FL18539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist