| 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 |