Individual
AMY L GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3148
(952) 993-1007
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3148
(952) 993-1007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118873
MN
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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