Cynthia H Braziel, PHARM.D.
Individual provider Active NPI Pharmacist · Malvern, AR
NPI 1407282106 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1407282106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD07701 (AR)
- Practice address
- 110 N Main St
Malvern, AR 72104-3502 - Phone
- (501) 332-2101
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD07701 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD07701 | AR | Yes |
Addresses
Primary practice location
110 N Main St
Malvern, AR 72104-3502
Mailing address
110 N Main St
Malvern, AR 72104-3502
Phone (501) 332-2101
Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.