Provider Demographics
NPI:1730493354
Name:WERT, CINDY LOU (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:LOU
Last Name:WERT
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-1923
Mailing Address - Country:US
Mailing Address - Phone:717-838-9131
Mailing Address - Fax:717-838-0494
Practice Address - Street 1:901 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-1923
Practice Address - Country:US
Practice Address - Phone:717-838-9131
Practice Address - Fax:717-838-0494
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040285L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist