Individual
ERICA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
730 S EIGHTH ST, MINNEAPOLIS, MN 55415
(952) 353-0255
Mailing address
3763 BRUNET CT, SAINT PAUL, MN 55127-7058
(952) 353-0255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124942
MN
Other
Enumeration date
06/16/2021
Last updated
06/21/2021
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