Organization
LL HAN, LLC
Active
Other names
Cannon Pharmacy Sedgefield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS HAN PHARMD (PHARMACIST OWNER)
(704) 523-8608
Entity
Organization
Contact information
Practice address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8608
(704) 523-8619
Mailing address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8608
(704) 523-8619
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1396128203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396128203
—
NC
Enumeration date
07/22/2016
Last updated
07/22/2016
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