NPI 1255880704

Andrew Cannon, PHARMD

Practitioner Pharmacist Evanston, WY

Practice location

Address: 131 10th St, Evanston, WY 82930-3421
Phone: (208) 390-9107

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3563 (WY)

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Registry record

NPI: 1255880704
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2016
Record last updated: 28 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.