Provider Demographics
NPI:1790942712
Name:BROWN, CYNTHIA REGISTER (RPH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:REGISTER
Last Name:BROWN
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 1:1007 CHADWICK SHORES DRIVE
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460
Mailing Address - Country:US
Mailing Address - Phone:910-389-5724
Mailing Address - Fax:910-329-0030
Practice Address - Street 1:REALO DISCOUNT DRUGS, 423 YOPP RD,
Practice Address - Street 2:STE 200
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540
Practice Address - Country:US
Practice Address - Phone:910-347-9684
Practice Address - Fax:910-455-0622
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist