MEDICARE: CYNTHIA NOBLES PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	13348	AL

General Provider Information

NPI Number	:	1679898944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA NOBLES PHARM D

Provider Business Mailing Address
First Line	:	1152 E LAKE BLVD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35217-2402
Country	:	US
Telephone Number	:	205-841-6421
Fax Number	:	205-841-2405

Provider Business Practice Location Address
First Line	:	1152 E LAKE BLVD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35217-2402
Country	:	US
Telephone Number	:	205-841-6421
Fax Number	:	205-841-2405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	03/30/2010

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Directions to “ CYNTHIA NOBLES PHARM D” Practice Location

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