George Robert Cannon Jr.
Pharmacist in Enterprise, AL. Individual provider (NPI-1).
NPI number1720126741
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720126741
- Entity type
- Individual (NPI-1)
- Name
- George Robert Cannon Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 6979 | AL | Yes |
Practice location
112 N Main StEnterprise, AL 36330-2537
Phone 334-347-2506
Mailing address
112 N Main StEnterprise, AL 36330-2537
Phone 334-347-2506
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