Organization
LIVEWELL INC
Active
Other names
Cannon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WILLIAM VELTRI R.PH. (PHARMACIST)
(704) 933-6337
Entity
Organization
Contact information
Practice address
1706 S CANNON BLVD, KANNAPOLIS, NC 28083-6104
(704) 933-6337
(704) 933-6374
Mailing address
1706 S CANNON BLVD, KANNAPOLIS, NC 28083-6104
(704) 933-6337
(704) 933-6374
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
08881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135919
—
NC
Enumeration date
09/21/2012
Last updated
09/21/2012
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