Gannon, Amy L

Gannon, Amy L is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gannon, Amy L can be contacted via phone (952) 993-3148.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-3148
Fax: (952) 993-1007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 118873 Minnesota

Profile Details

NPI number 1548450364
LBN Legal business name Gannon, Amy L
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Jul 27th, 2007 - about 17 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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