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Organization
CANNONS DISCOUNT PHARMACY LLC
Active
Organization
CANNONS DISCOUNT PHARMACY LLC
Active
Other names
CANNONS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R. CANNON III PHARMD (MANAGING MEMBER)
(985) 878-5555
Entity
Organization
Contact information
Practice address
13351 E ALESSI RD, INDEPENDENCE, LA 70443-2398
(985) 878-5555
(985) 878-5553
Mailing address
13351 E ALESSI RD, INDEPENDENCE, LA 70443-2398
(985) 878-5555
(985) 878-5553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005972-IR
LA
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Enumeration date
01/30/2007
Last updated
09/29/2025
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