Provider Demographics
NPI:1871762534
Name:ALLIGOOD, CYNTHIA L (RPH)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:ALLIGOOD
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 1:2125 OLD CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-1328
Mailing Address - Country:US
Mailing Address - Phone:704-636-4386
Mailing Address - Fax:704-210-5596
Practice Address - Street 1:612 MOCKSVILLE AVENUE
Practice Address - Street 2:C/O ROWAN REGIONAL MEDICAL CENTER
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-210-5092
Practice Address - Fax:704-210-5596
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist