Organization
PANTHER HEALTH, LLC
Active
Other names
Cannon Pharmacy Mooresville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN THOMAS YANICKO PHARMD (PHARMACY MANAGER/OWNER)
(704) 658-9870
Entity
Organization
Contact information
Practice address
521 E PLAZA DR, MOORESVILLE, NC 28115-8071
(704) 658-9870
(704) 658-9871
Mailing address
521 E PLAZA DR, MOORESVILLE, NC 28115-8071
(704) 658-9870
(704) 658-9871
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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