Individual
JONATHAN ANGUS CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2720 S QUILLAN ST, KENNEWICK, WA 99337-2404
(509) 586-1574
Mailing address
707 S QUAY PL, KENNEWICK, WA 99336-9338
(801) 400-6452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60493182
WA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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