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Cannons Discount Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Independence, LA

NPI 1659417202 · NPPES record last updated Sep 29, 2025

Key facts

NPI
1659417202
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHY.005972-IR (LA)
Legal business name
CANNONS DISCOUNT PHARMACY LLC
Practice address
13351 E Alessi Rd
Independence, LA 70443-2398
Phone
(985) 878-5555
Fax
(985) 878-5553
NPI assigned
Jan 30, 2007
Organization subpart
No

Authorized official

Name
Charles R. Cannon III, PHARMD
Title
Managing Member
Phone
(985) 878-5555

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

13351 E Alessi Rd
Independence, LA 70443
Phone (985) 878-5555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.005972-IR LA Yes
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

13351 E Alessi Rd
Independence, LA 70443-2398

Mailing address

13351 E Alessi Rd
Independence, LA 70443-2398
Phone (985) 878-5555

Other identifiers

IdentifierTypeStateIssuer
1268798MedicaidLA
2035430OtherPK
1227901MedicaidLA

Other names

  • CANNONS DISCOUNT PHARMACY Doing business as

Other providers in Independence, LA

All providers in Independence, LA · Community/Retail Pharmacy in Louisiana

Sources for this page

Verify at the official NPI Registry.