| NPI | 1225412562 |
|---|---|
| Doing Business As | CANNON PHARMACY MOORESVILLE |
| Entity Type | Organization |
| Authorized Contact | RYAN YANICKO Manager/Pharmacist 704-658-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12647) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-11-02 |