Provider Demographics
NPI:1144501883
Name:CHANNELS, LANDRY CAIRNS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LANDRY
Middle Name:CAIRNS
Last Name:CHANNELS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 N US HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-9317
Mailing Address - Country:US
Mailing Address - Phone:231-348-7510
Mailing Address - Fax:
Practice Address - Street 1:1301 N US HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-9317
Practice Address - Country:US
Practice Address - Phone:231-348-7510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist