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Individual

CYNTHIA ANN LINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
313 KITCHEN RD, DU BOIS, PA 15801-8773
(814) 771-3748
Mailing address
313 KITCHEN RD, DU BOIS, PA 15801-8773
(814) 771-3748

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033632L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP033632L
PA BOARD OF PHARMACY
PA
01
RPI009392
PA BOARD OF PHARMACY
PA
Enumeration date
10/31/2020
Last updated
10/31/2020
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