Livewell, Inc. DBA Cannon Pharmacy Compounding
NPI #1285918086 in Kannapolis, North Carolina
Provider Information
- NPI Number
- 1285918086
- Entity Type
- Organization
- Organization Name
- Livewell, Inc. DBA Cannon Pharmacy Compounding
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Sep 29, 2011
- Last Updated
- Sep 29, 2011
Practice Location
- Address
- 563 JACKSON PARK RD
- City
- Kannapolis
- State
- North Carolina
- ZIP Code
- 28083-3657
- Phone
- (704) 932-5050
Authorized Official
- Name
- MATT MILLER, PHARMD
- Title
- CO-OWNER
- Phone
- (704) 658-9870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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