Organization
LLHAN LLC
Active
Other names
Cannon Pharmacy Sedgefield
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HAN (OWNER)
(704) 523-8607
Entity
Organization
Contact information
Practice address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8607
Mailing address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12649
NC
Other
Enumeration date
07/09/2015
Last updated
03/08/2023
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