Individual
BRIAN CALNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7835 150TH ST W, APPLE VALLEY, MN 55124-7181
(952) 431-9703
Mailing address
13900 FAWN RIDGE WAY, APPLE VALLEY, MN 55124-5093
(952) 484-3227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117300
PHARMACY LICENSE
MN
Enumeration date
07/12/2018
Last updated
07/12/2018
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