Organization
CANNON FALLS SNYDER PHCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLAYTON PETERSON PHARMD (OWNER)
(507) 263-4741
Entity
Organization
Contact information
Practice address
31265 COUNTY 24 BLVD, CANNON FALLS, MN 55009-4071
(507) 263-4741
(507) 263-0740
Mailing address
31265 COUNTY 24 BLVD, CANNON FALLS, MN 55009-4071
(507) 263-4741
(507) 263-0740
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2608604
MN
Other
Enumeration date
07/29/2005
Last updated
08/22/2020
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