Provider Demographics
NPI:1952774473
Name:PUNWANI, CYNTHIA LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:PUNWANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 BERNAL AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-1218
Mailing Address - Country:US
Mailing Address - Phone:925-249-9011
Mailing Address - Fax:925-600-8968
Practice Address - Street 1:6750 BERNAL AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-1218
Practice Address - Country:US
Practice Address - Phone:925-249-9011
Practice Address - Fax:925-600-8968
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist