Mark Sean Gannon, RPH

Pharmacist · Calipatria, CA

Individual Active NPI

NPI number 1023368784

Practice location

7018 Blair Rd
Calipatria, CA 92233-9633
Phone
(760) 604-2224

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NPI record

NPI
1023368784
Entity type
Individual (Type 1)
Enumeration date
September 10, 2012
Last updated
September 10, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 50696 CA

Mailing address

PO Box 517
Chula Vista, CA 91912-0517
Phone
(858) 243-7343

About Mark Gannon

Mark Sean Gannon, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 7018 Blair Rd, Calipatria, CA 92233-9633. The NPI number 1023368784 was assigned on September 10, 2012 and the record was last updated on September 10, 2012.

Mark Gannon lists a license in the registry: #50696 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Sean Gannon, RPH?

The NPI number is 1023368784.

What is the phone number of Mark Gannon?

The phone number listed for the practice location is (760) 604-2224.

Where is Mark Gannon located?

7018 Blair Rd, Calipatria, CA 92233-9633.

What is the taxonomy code for Mark Gannon?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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