Cannon, Andrew

Cannon, Andrew is an sole proprietor health care provider with primary practice located at 131 10Th St , Evanston WY 82930-3421. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cannon, Andrew can be contacted via phone (208) 390-9107.

Contact Information

Primary practice address
131 10Th St Evanston WY 82930-3421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3563 Wyoming

Profile Details

NPI number 1255880704
LBN Legal business name Cannon, Andrew
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2016
Last updated Sep 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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