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Travis Gannon
Pharmacist in Shelby Township, Michigan
NPI 1225632599

Travis Gannon is a Pharmacist based in Clinton Township, MI. Travis Gannon practices in Shelby Township, MI. The NPI Number for Travis Gannon is 1225632599 and holds a License No. 5302412978 (Michigan).

The current practice location address for Travis Gannon is 8200 26 Mile Rd, Shelby Township, MI and can be reached out via phone at 586-677-5084. You can also correspond with Travis Gannon through the mailing address at 17433 DUVAL CT, CLINTON TOWNSHIP, MI - 48038-7127 (mailing address contact number: 586-353-1151).

Location: 8200 26 Mile Rd, Shelby Township, MI, 48038-7127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225632599
Provider Name
Travis Gannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
8200 26 Mile Rd, Shelby Township, MI, 48038-7127
Phone Number
586-677-5084
Fax Number
Provider Enumeration Date
11/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8200 26 Mile Rd
City
Shelby Township
State
Michigan
Zip
48316-5132
Phone Number
586-677-5084
Fax Number
person
Provider Business Mailing Address Details
Address
8200 26 Mile Rd
City
Shelby Township
State
Michigan
Zip
48316-5132
Phone Number
586-677-5084
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302412978 (Michigan)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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