Provider Demographics
NPI:1396349510
Name:POLAND, CINDY K (RPH)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:K
Last Name:POLAND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:TROJANOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 RHAWN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2801
Mailing Address - Country:US
Mailing Address - Phone:215-342-1445
Mailing Address - Fax:215-742-0221
Practice Address - Street 1:1301 RHAWN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2801
Practice Address - Country:US
Practice Address - Phone:215-342-1445
Practice Address - Fax:215-742-0221
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI004856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist