MEDICARE: MS. CYNTHIA AGUIAR RPH BCPP

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	1835P1300X	Psychiatric Pharmacist	11744	KS

General Provider Information

NPI Number	:	1275536104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA AGUIAR RPH BCPP

Provider Business Mailing Address
First Line	:	929 BENCH CT
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-1652
Country	:	US
Telephone Number	:	907-729-2150
Fax Number	:	907-729-2154

Provider Business Practice Location Address
First Line	:	4320 DIPLOMACY DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5925
Country	:	US
Telephone Number	:	907-729-2150
Fax Number	:	907-729-2154

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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