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NPI Code Detail

MEDICARE: DR. CYNTHIA RENEE CREECH PHARMD

MEDICARE: DR. CYNTHIA RENEE CREECH PHARMD
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
1183500000XPharmacist26020052AIN

General Provider Information

NPI Number : 1801000989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA RENEE CREECH PHARMD
Provider Business Mailing Address
First Line : 2403 INVERNESS DR
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-3272
Country : US
Telephone Number : 219-877-2410
Fax Number : 219-877-2465
Provider Business Practice Location Address
First Line : 5150 FRANKLIN ST
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-7878
Country : US
Telephone Number : 219-877-2410
Fax Number : 219-877-2465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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