Cynthia M McMahon, RPH

Individual provider Active NPI Pharmacist · North Franklin, CT

NPI 1619064474 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619064474
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
7622 (CT)
Practice address
6 Ward LN
North Franklin, CT 06254-1016
Phone
(860) 642-4349
Fax
(860) 642-6409
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7622CTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7622 CT Yes

Addresses

Primary practice location

6 Ward LN
North Franklin, CT 06254-1016

Mailing address

6 Ward LN
North Franklin, CT 06254-1016
Phone (860) 642-4349

Other providers in North Franklin, CT

All providers in North Franklin, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.