Provider Demographics
NPI:1043078215
Name:NGO, CINDY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:NGO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22590 BRANTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-6223
Mailing Address - Country:US
Mailing Address - Phone:586-489-4766
Mailing Address - Fax:
Practice Address - Street 1:7461 N GENESEE RD
Practice Address - Street 2:
Practice Address - City:GENESEE
Practice Address - State:MI
Practice Address - Zip Code:48437-9800
Practice Address - Country:US
Practice Address - Phone:810-640-1424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist