Provider Demographics
NPI:1710394937
Name:LEDFORD, CYNTHIA (PHARMD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 SPRING FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-9102
Mailing Address - Country:US
Mailing Address - Phone:704-692-8484
Mailing Address - Fax:
Practice Address - Street 1:1011 SHELBY RD
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-2739
Practice Address - Country:US
Practice Address - Phone:704-259-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist