MEDICARE: CYNTHIA KRYC RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03216718	OH

General Provider Information

NPI Number	:	1003408972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA KRYC RPH

Provider Business Mailing Address
First Line	:	8917 CORNWALLIS CT
Second Line	:
City	:	POWELL
State	:	OH
Zip	:	43065-9026
Country	:	US
Telephone Number	:	614-404-2991
Fax Number	:

Provider Business Practice Location Address
First Line	:	2609 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-2555
Country	:	US
Telephone Number	:	614-263-9424
Fax Number	:	614-263-2929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/10/2021

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