Individual provider · Type 1 NPI

Travis Gannon

Pharmacist · Shelby Township, MI

NPI number 1225632599 Active

Practice location

8200 26 Mile Rd
Shelby Township, MI 48316-5132

Call (586) 677-5084 Map

Mailing address

17433 Duval Ct
Clinton Township, MI 48038-7127

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	5302412978 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1225632599

Travis Gannon's National Provider Identifier is 1225632599, issued on Nov 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Shelby Township, MI. The record was last updated on Nov 26, 2020.