Cannon Drugs

LBN: Cannon Drugs
Cannon Drugs is an health care organization with primary practice located at 1233 N Tustin Ave , Orange CA 92867-5147. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cannon Drugs can be contacted via phone (714) 633-7364, or through Lau, Justin via phone (714) 633-7364.

Contact Information

Primary practice address
1233 N Tustin Ave Orange CA 92867-5147
Fax: (714) 633-1469
Website:
Authorized official contact:
Name: Lau, Justin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY21837 California

Profile Details

NPI number 1528128758
LBN Legal business name Cannon Drugs
DBA Doing business as Cannon Drugs
Authorized official Lau, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Mar 15th, 2013 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528128758 NPPES
Other 0573104 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA216370 NCPDP PROVIDER IDENTIFICATION NUMBER

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