Provider Demographics
NPI:1720307531
Name:MARCHANT, CYNTHIA T (RPH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:T
Last Name:MARCHANT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 LASKIN RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6138
Mailing Address - Country:US
Mailing Address - Phone:757-425-7665
Mailing Address - Fax:757-437-1605
Practice Address - Street 1:1661 LASKIN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6138
Practice Address - Country:US
Practice Address - Phone:757-425-7665
Practice Address - Fax:757-437-1605
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist