Individual
CYNTHIA ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
21790 21 MILE RD, MACOMB, MI 48044-2974
(586) 469-0254
(586) 469-1450
Mailing address
21790 21 MILE RD, MACOMB, MI 48044-2974
(586) 469-0254
(586) 469-1450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029910
MI
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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