Individual
CYNTHIA K MALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH, PHARM.D
Contact information
Practice address
30020 GRAND RIVER AVE, TARGET 0611 PRN PHARMACIST, FARMINGTON HILLS, MI 48336-4722
(248) 477-1467
Mailing address
30020 GRAND RIVER AVE, TARGET 0611 PRN PHARMACIST, FARMINGTON HILLS, MI 48336-4722
(248) 477-1467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021729
MI
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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