Provider Demographics
NPI:1295946275
Name:MCCLARD, CYNTHIA ANN (RPH, MS)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:MCCLARD
Suffix:
Gender:F
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4913
Mailing Address - Country:US
Mailing Address - Phone:615-371-9689
Mailing Address - Fax:615-373-9088
Practice Address - Street 1:6300 MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4913
Practice Address - Country:US
Practice Address - Phone:615-371-9689
Practice Address - Fax:615-373-9088
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy