Derek Cannon

NPI #1457750614 in Brownsville, Tennessee

Provider Information

NPI Number: 1457750614
Entity Type: Individual
Name: Derek Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 13, 2014
Last Updated: Mar 15, 2020

Practice Location

Address: 1114 E MAIN ST
City: Brownsville
State: Tennessee
ZIP Code: 38012-2621
Phone: (731) 772-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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