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Organization
COMMUNITY PHARMACY OF GRANITE FALLS, LLC
Active
Organization
COMMUNITY PHARMACY OF GRANITE FALLS, LLC
Active
Other names
GRANITE DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HUFFSTETLER PHARMD (OWNER & PIC)
(828) 396-2144
Entity
Organization
Contact information
Practice address
21 FALLS AVE, GRANITE FALLS, NC 28630
(828) 396-2144
(828) 396-9561
Mailing address
21 FALLS AVE, GRANITE FALLS, NC 28630
(828) 396-2144
(828) 396-9561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13303
NC
333600000X
Pharmacy
02793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145136
—
NC
01
—
3406647
NCPDP
NC
Enumeration date
02/08/2007
Last updated
07/21/2022
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