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:
Map and Directions
Authorized official contact:
Name: Dinan, Kristen RPH
Phone: (704) 367-7440

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558468488 NPPES
North Carolina MEDICAID 0609491
North Carolina Other 3427196

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