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Individual
MS. SUSAN JANE CANNIFF
Active
Individual
MS. SUSAN JANE CANNIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119903
MN
183500000X
Pharmacist
12485
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119903
MINNESOTA PHARMACY LICENSE NUMBER
MN
01
—
12485
PHARMACIST LICENSE
CO
Enumeration date
11/30/2011
Last updated
11/30/2011
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