CANNON PHARMACY SEDGEFIELD - NPI 1972956167 - Durable Medical Equipment & Medical Supplies in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

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About Cannon Pharmacy Sedgefield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON PHARMACY SEDGEFIELD (NPI 1972956167) is a healthcare organization registered as a customized equipment in Charlotte, North Carolina and active in the NPI registry since July 2016. The organization lists Chris Han, Pharmacist Owner, as its authorized official.

NPPES Registry Identity

NPI1972956167

Entity TypeOrganization

Primary Taxonomy332BC3200X

Legal Business NameLL HAN, LLC

Location Address2334 SOUTH BLVDCharlotte, NC 28203-5008

Mailing Address2334 South BlvdCharlotte, NC 28203-5008 · (704) 523-8608 · Fax (704) 523-8619

Phone(704) 523-8608

Fax(704) 523-8619

Organization SubpartNo

Authorized OfficialChris HanPharmacist Owner · (704) 523-8608

Enumeration DateJuly 22, 2016

✔ NPI 1972956167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers

Taxonomy Code332BC3200X

License✔ Licensed in NC · 1396128203

2334 SOUTH BLVD, Charlotte, NC 28203

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Other Names 1

Doing Business AsCannon Pharmacy Sedgefield

Other Identifiers 1

Medicaid1396128203NC

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HELEN MAHAIRAS MOFFAT RPH

Pharmacist