Organization
LIVEWELL INC
Active
Other names
CANNON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FREEMAN (PRESIDENT PIC)
(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
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135919
—
NC
01
—
2067567
PK
—
Enumeration date
09/20/2006
Last updated
12/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us