Healthcare Provider Details

I. General information

NPI: 1992991707
Provider Name (Legal Business Name): CYNTHIA LYNN HULL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA LYNN GLOS PHARMD

II. Dates (important events)

Enumeration Date: 09/15/2007
Last Update Date: 06/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ROCK SPRING RD
FOREST HILL MD
21050-2617
US

IV. Provider business mailing address

2101 ROCK SPRING RD
FOREST HILL MD
21050-2617
US

V. Phone/Fax

Practice location:
  • Phone: 410-420-8224
  • Fax: 410-420-8228
Mailing address:
  • Phone: 410-420-8224
  • Fax: 410-420-8228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17403
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17403
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: