Cannon Falls Snyder Phcy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

2608604 Issued in MN

Legal business name

CANNON FALLS SNYDER PHCY INC

Practice address

31265 County 24 Blvd
Cannon Falls, MN 55009-4071

Phone

(507) 263-4741

Fax

(507) 263-0740

NPI assigned

Jul 29, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Clayton Peterson, PHARMD

Title

Owner

Phone

(507) 263-4741

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841290921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31265 COUNTY 24 BLVD",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550094071",
            "telephone_number": "507-263-4741",
            "fax_number": "507-263-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31265 COUNTY 24 BLVD",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550094071",
            "telephone_number": "507-263-4741",
            "fax_number": "507-263-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON FALLS SNYDER PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-263-4741",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2608604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Cannon Falls, MN
• Providers in Cannon Falls, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.