Provider / Organization | NPI | Date Certified |
---|---|---|
CYNTHIA GAUSE DUNNAWAY | 1194414854 | 2023-08-13 |
Cynthia Gause Dunnaway is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194414854. Registration indicates Cynthia Gause Dunnaway is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Cynthia Gause Dunnaway RPH |
Practice Office Address | 3721 W TRUMAN BLVD JEFFERSON CITY, MO US |
Practice Office Telephone | 5736342628 |
Mailing Address | 3721 W TRUMAN BLVD JEFFERSON CITY, MO 651090536 US |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 042919
MO |