| NPI | 1083135685 |
|---|---|
| Doing Business As | CANNON PHARMACY LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K. HAN Authorized Official 704-886-0840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-10-28 |