Individual
LUCAS RICHARD CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 430-4670
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 430-4670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124786
MN
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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