Individual
CYNTHIA ANNE MAGNIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Mailing address
5455 RANGER HILLS DR SE, GRAND RAPIDS, MI 49546-6443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP032138L
PA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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