Provider Demographics
NPI:1174748511
Name:DUKES, CINDY MCELYEA (RPH)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:MCELYEA
Last Name:DUKES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 CIMARRON DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35769
Mailing Address - Country:US
Mailing Address - Phone:256-218-3192
Mailing Address - Fax:
Practice Address - Street 1:5337 TAMMY LITTLE DR
Practice Address - Street 2:
Practice Address - City:SECTION
Practice Address - State:AL
Practice Address - Zip Code:35771
Practice Address - Country:US
Practice Address - Phone:256-228-7179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist