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Individual

DR. ANDREW R CANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2342
(503) 879-2030
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2342
(503) 879-2030

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014295
OR
390200000X
Student in an Organized Health Care Education/Training Program
PI-0010656
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0014295
OR PHARMACIST LICENSE
OR
Enumeration date
04/08/2013
Last updated
10/21/2019
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