Organization
CANNON DRUG CO
Active
Other names
CANNON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRUCE CANNON RPH (PRESIDENT)
(828) 433-5120
Entity
Organization
Contact information
Practice address
342 E PARKER RD, MORGANTON, NC 28655-5111
(828) 433-5120
(828) 433-5149
Mailing address
342 E PARKER RD, MORGANTON, NC 28655-5111
(828) 433-5120
(828) 433-5149
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125369
—
NC
01
—
3423174
OTHER ID NUMBER
—
Enumeration date
09/20/2006
Last updated
06/06/2014
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