NPI | 1629421029 |
---|---|
Doing Business As | CANNON PHARMACY CONCORD DME |
Entity Type | Organization |
Authorized Contact | DONALD J YOUNG Owner 704-788-6337 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NC 1588048714) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |