Healthcare Provider Details

I. General information

NPI: 1679898944
Provider Name (Legal Business Name): CYNTHIA NOBLES PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 CLIFF LAKE RD
EAGAN MN
55122-2492
US

IV. Provider business mailing address

1940 CLIFF LAKE RD
EAGAN MN
55122-2492
US

V. Phone/Fax

Practice location:
  • Phone: 651-454-5150
  • Fax: 651-686-5923
Mailing address:
  • Phone: 651-454-5150
  • Fax: 651-686-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13348
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number127078
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: