Cannon Pharmacy Morrocroft
LBN: Livewell Inc
Cannon Pharmacy Morrocroft is an health care organization with primary practice located at 4501 Cameron Valley Pkwy Ste 125 , Charlotte NC 28211-4299. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Livewell Inc can be contacted via phone (704) 367-7440, or through Dinan, Kristen via phone (704) 367-7440.
Contact Information
Primary practice address
4501 Cameron Valley Pkwy Ste 125
Charlotte NC 28211-4299
Phone: (704) 367-7440
Fax: (704) 365-2345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 7883 | North Carolina |
Profile Details
NPI number | 1558468488 |
---|---|
LBN Legal business name | Livewell Inc |
DBA Doing business as | Cannon Pharmacy Morrocroft |
Authorized official | Dinan, Kristen RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jan 23rd, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558468488 | NPPES |
North Carolina | MEDICAID | 0609491 | |
North Carolina | Other | 3427196 |
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