Cannon Pharmacy Ebenezer Rd

LBN: Livewell Inc
Cannon Pharmacy Ebenezer Rd is an health care organization with primary practice located at 1402 N Cannon Blvd , Kannapolis NC 28083-2662. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Livewell Inc can be contacted via phone (704) 933-7948, or through Freeman, Brian via phone (704) 965-0039.

Contact Information

Primary practice address
1402 N Cannon Blvd Kannapolis NC 28083-2662
Phone: (704) 933-7948
Fax: (704) 933-7958
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Brian
Phone: (704) 965-0039

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 09998 North Carolina

Profile Details

NPI number 1730358896
LBN Legal business name Livewell Inc
DBA Doing business as Cannon Pharmacy Ebenezer Rd
Authorized official Freeman, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2008
Last updated Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730358896 NPPES
Other 2067185 PK

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