| NPI | 1770290421 |
|---|---|
| Doing Business As | CANNON PHARMACY MOORESVILLE |
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS YANICKO Pharmacy Manager/Owner 704-658-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |