Provider Demographics
NPI:1356590665
Name:FARMER, CYNTHIA A (PHARMD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:FARMER
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 1:1812 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-4602
Mailing Address - Country:US
Mailing Address - Phone:360-533-1525
Mailing Address - Fax:
Practice Address - Street 1:1812 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-4602
Practice Address - Country:US
Practice Address - Phone:360-533-1525
Practice Address - Fax:360-533-1552
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0011395183500000X
WAPH600647471835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist