Lucas Richard Cannon, PHARMD

NPI #1457954257 in Stillwater, Minnesota

Provider Information

NPI Number: 1457954257
Entity Type: Individual
Name: Lucas Richard Cannon, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 1500 CURVE CREST BLVD W
City: Stillwater
State: Minnesota
ZIP Code: 55082-6040
Phone: (651) 430-4670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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