# LIVEWELL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cannon Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689925299
- **Authorized official:** MR. GEORGE WILLIAM VELTRI R.PH. (PHARMACIST)
- **Authorized official phone:** (704) 933-6337

## Contact information

- **Practice address:** 1706 S CANNON BLVD, KANNAPOLIS, NC 28083-6104
- **Practice address phone:** (704) 933-6337
- **Practice address fax:** (704) 933-6374
- **Mailing address:** 1706 S CANNON BLVD, KANNAPOLIS, NC 28083-6104
- **Mailing address phone:** (704) 933-6337
- **Mailing address fax:** (704) 933-6374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 08881 | NC | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 09/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0135919 | — | NC |