NPI: 1962584755 · VALDESE, NC 28690 · Community/Retail Pharmacy · NPI assigned 10/20/2006
| Authorized Official | CANNON, WILLIAM (MANAGER LLC) |
| NPI Enumeration Date | 10/20/2006 |
Other providers sharing the same authorized official: CANNON, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| CANNON DRUG CO | MORGANTON | NC | $975.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 21 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91303 | 21 | 13 | $0.00 |