Provider Demographics
NPI:1962499343
Name:THOMAS, CINDY SUE (RPH, CGP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:SUE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 GINGERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-3690
Mailing Address - Country:US
Mailing Address - Phone:614-539-9044
Mailing Address - Fax:
Practice Address - Street 1:2076 GINGERWOOD CT
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3690
Practice Address - Country:US
Practice Address - Phone:614-539-9044
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-23970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist