Organization
ELEVATION FAMILY PHARMACY INC
Active
Other names
Winona Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CANNON PHARMD (OWNER/PRESIDENT)
(801) 633-7974
Entity
Organization
Contact information
Practice address
5080 ROBERT J MATHEWS PKWY STE 170, EL DORADO HILLS, CA 95762-5702
(833) 626-1480
Mailing address
526 SHOUP AVE W STE K, TWIN FALLS, ID 83301-5050
(801) 633-7974
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
12/27/2022
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