Provider Demographics
NPI:1922192178
Name:HIGHTOWER, CYNTHIA MICHELLE (CLINICAL PHARMACIST)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:MICHELLE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:CLINICAL PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 LEE ROAD 272
Mailing Address - Street 2:
Mailing Address - City:CUSSETA
Mailing Address - State:AL
Mailing Address - Zip Code:36852
Mailing Address - Country:US
Mailing Address - Phone:334-444-1471
Mailing Address - Fax:
Practice Address - Street 1:2400 HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083
Practice Address - Country:US
Practice Address - Phone:334-727-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist