# WALHALLA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WALHALLA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366806077
- **Authorized official:** DR. YOUSSEF GEORGE ELAFFY PHARM.D, CGP (PHARMACY MANAGER/ OWNER)
- **Authorized official phone:** (864) 916-0680

## Contact information

- **Practice address:** 206 E MAIN ST, WALHALLA, SC 29691-1927
- **Practice address phone:** (864) 916-0680
- **Practice address fax:** (864) 916-0681
- **Mailing address:** 206 E MAIN ST, WALHALLA, SC 29691-1927
- **Mailing address phone:** (864) 916-0680
- **Mailing address fax:** (864) 916-0681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 15849 | SC | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 04/08/2016