Organization
LIVEWELL INC
Active
Other names
Cannon Pharmacy-Sedgefield
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FREEMAN (PRESIDENT PIC)
(704) 933-6337
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
3336C0003X
Community/Retail Pharmacy
Primary
10527
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3401863
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/07/2007
Last updated
01/23/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up