Provider Demographics
NPI:1336797653
Name:HERRERA, CYNTHIA A (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:HERRERA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 W UNIVERSITY DR # 1151
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-2862
Mailing Address - Country:US
Mailing Address - Phone:956-369-7316
Mailing Address - Fax:956-271-1557
Practice Address - Street 1:8115 N LOS EBANOS RD STE 5
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1670
Practice Address - Country:US
Practice Address - Phone:956-271-1555
Practice Address - Fax:956-271-1557
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist