Cannon Pharmacy

LBN: Livewell Inc
Cannon Pharmacy is an health care organization with primary practice located at 1706 S Cannon Blvd , Kannapolis NC 28083-6104. 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) 933-6337, or through Freeman, Brian via phone (704) 933-6337.

Contact Information

Primary practice address
1706 S Cannon Blvd Kannapolis NC 28083-6104
Phone: (704) 933-6337
Fax: (704) 933-6374
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Brian
Phone: (704) 933-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 08881 North Carolina

Profile Details

NPI number 1992802839
LBN Legal business name Livewell Inc
DBA Doing business as Cannon Pharmacy
Authorized official Freeman, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992802839 NPPES
North Carolina MEDICAID 0135919
North Carolina Other 2067567

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