Cannon Pharmacy-Sedgefield

LBN: Livewell Inc
Cannon Pharmacy-Sedgefield is an health care organization with primary practice located at 2334 South Blvd , Charlotte NC 28203-5008. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Livewell Inc can be contacted via phone (704) 523-8608, or through Freeman, Brian via phone (704) 933-6337.

Contact Information

Primary practice address
2334 South Blvd Charlotte NC 28203-5008
Phone: (704) 523-8608
Fax: (704) 523-8619
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Brian
Phone: (704) 933-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 10527 North Carolina

Profile Details

NPI number 1043350556
LBN Legal business name Livewell Inc
DBA Doing business as Cannon Pharmacy-Sedgefield
Authorized official Freeman, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jan 23rd, 2013 - about 13 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 1043350556 NPPES
Other 3401863 NCPDP PROVIDER IDENTIFICATION NUMBER

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