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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN M PENNELL, RPH CCN

Active Sole Proprietor

SUSAN M PENNELL, RPH CCN is a Nutrition Support Pharmacist healthcare provider located in FLINT, Michigan. NPI 1861571564 is currently active in the NPPES registry. Verify at CMS.

Nutrition Support Pharmacist · FLINT, MI

Registration Details

NPI Number
1861571564
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2006 (19.799716674844 yrs)
Last Updated
Jul 8, 2007
License
023789 (MI)
Sole Proprietor
Yes

Practice Information

Address
G3320 BEECHER RD
FLINT, MI, 485323614
Browse MI providers · Browse ZIP 48532
Phone
8107328720
Fax
8107326267
Primary Specialty
Nutrition Support Pharmacist
1835N1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.