Canning, Andrew R

Canning, Andrew R is an individual health care provider with primary practice located at 9605 Grand Ronde Rd , Grand Ronde OR 97347-9712. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Canning, Andrew R can be contacted via phone (503) 879-2342.

Contact Information

Primary practice address
9605 Grand Ronde Rd Grand Ronde OR 97347-9712
Phone: (503) 879-2342
Fax: (503) 879-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PI-0010656 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0014295 Oregon

Profile Details

NPI number 1417390634
LBN Legal business name Canning, Andrew R
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Oct 21st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417390634 NPPES
Oregon Other RPH-0014295 OR PHARMACIST LICENSE

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