| NPI | 1194034678 |
|---|---|
| Doing Business As | CANNON PHARMACY-CONCORD |
| Entity Type | Organization |
| Authorized Contact | BRIAN FREEMAN President 704-933-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10595) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2013-12-19 |