Provider Demographics
NPI:1932417169
Name:O'BRIEN, CYNTHIA B (RPH)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:B
Last Name:O'BRIEN
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 1:101 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-1353
Mailing Address - Country:US
Mailing Address - Phone:252-459-3540
Mailing Address - Fax:252-459-6368
Practice Address - Street 1:101 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1353
Practice Address - Country:US
Practice Address - Phone:252-459-3540
Practice Address - Fax:252-459-6368
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist