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Individual

ANDREW CANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(708) 805-1144
Mailing address
4610 UNIVERSITY AVE STE 206, MADISON, WI 53705-2163

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1878140
WI

Other

Enumeration date
06/26/2017
Last updated
06/26/2017
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