Provider Demographics
NPI:1689725921
Name:HOLT, CYNTHIA BETH (PHARM D, , RPH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:BETH
Last Name:HOLT
Suffix:
Gender:F
Credentials:PHARM D, , RPH
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:BETH
Other - Last Name:GIERWATOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:1500 4TH AVE
Mailing Address - Street 2:SUITE # 895
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1613
Mailing Address - Country:US
Mailing Address - Phone:206-992-4545
Mailing Address - Fax:
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:206-215-6415
Practice Address - Fax:206-215-6417
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00051723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist