Provider Demographics
NPI:1851024129
Name:TEMBULA, CYNTHIA (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TEMBULA
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 132ND ST SW APT H3
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-9353
Mailing Address - Country:US
Mailing Address - Phone:206-859-7479
Mailing Address - Fax:
Practice Address - Street 1:2518 196TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6970
Practice Address - Country:US
Practice Address - Phone:425-673-7065
Practice Address - Fax:425-278-4974
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA60562058183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician