Provider Demographics
NPI:1053001875
Name:MINTO, CYNTHIA MARIE (RPH)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARIE
Last Name:MINTO
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 1:1504 ALLEN CT
Mailing Address - Street 2:
Mailing Address - City:WAMPUM
Mailing Address - State:PA
Mailing Address - Zip Code:16157-4402
Mailing Address - Country:US
Mailing Address - Phone:724-987-8598
Mailing Address - Fax:
Practice Address - Street 1:1504 ALLEN CT
Practice Address - Street 2:
Practice Address - City:WAMPUM
Practice Address - State:PA
Practice Address - Zip Code:16157-4402
Practice Address - Country:US
Practice Address - Phone:724-987-8598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041047L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist