Individual
MS. SUSAN JANE CANNIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2099 FORD PKWY, SAINT PAUL, MN 55116-1814
(651) 414-3882
(651) 414-3888
Mailing address
2099 FORD PKWY, SAINT PAUL, MN 55116-1814
(651) 414-3882
(651) 414-3888
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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