Organization
C & D PHARMACEUTICALS FAYETTE INC
Active
Other names
Cannon Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CANNON (OWNER)
(205) 932-8969
Entity
Organization
Contact information
Practice address
106 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-8969
(205) 932-8095
Mailing address
106 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-8969
(205) 932-8095
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
114625
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160027
PK
—
Enumeration date
04/29/2016
Last updated
03/16/2017
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