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Organization
LL HAN, LLC
Active
Organization
LL HAN, LLC
Active
Other names
Cannon Pharmacy Sedgefield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS HAN PHARMD (PHARMACIST OWNER)
(704) 523-8608
Entity
Organization
Contact information
Practice address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8608
(704) 523-8619
Mailing address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8608
(704) 523-8619
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1396128203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396128203
—
NC
Enumeration date
07/22/2016
Last updated
07/22/2016
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