Organization · Type 2 NPI

Panther Health, LLC

Customized Equipment (DME) · Mooresville, NC

NPI number 1164875340 Active

Practice location

521 E Plaza Dr
Mooresville, NC 28115-8071

Fax (704) 658-9871

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	1225412562 (NC)

Customized Equipment (DME): Definition to come...

7 other providers at this address

NPI record

NPI: 1164875340
Entity type: Organization (Type 2)
Issued: Jul 22, 2016
Last updated: Nov 2, 2022
Status: Active

Other names

<unavail>
Cannon Pharmacy Mooresville Dme · doing business as
Cannon Pharmacy Mooresville Dme · doing business as

Authorized official

Dr. Ryan Yanicko, PharmD
Pharmacist Owner
(704) 658-9870

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164875340

Panther Health, LLC's National Provider Identifier is 1164875340, issued on Jul 22, 2016. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Mooresville, NC. The record was last updated on Nov 2, 2022.