Individual
SUSAN M PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH CCN
Contact information
Practice address
G3320 BEECHER RD, FLINT, MI 48532-3614
(810) 732-8720
(810) 732-6267
Mailing address
2262 N MCKINLEY RD, FLUSHING, MI 48433-9420
(810) 487-0503
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
023789
MI
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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