Individual
MS. CYNTHIA M HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, MS
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6070
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 864-6070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027599
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110975
PHARMACIST
KS
Enumeration date
07/28/2011
Last updated
09/18/2014
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