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Organization
WALHALLA PHARMACY LLC
Active
Organization
WALHALLA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUSSEF GEORGE ELAFFY PHARM-D, CGP (OWNER, PIC)
(864) 916-0680
Entity
Organization
Contact information
Practice address
206 E MAIN ST, WALHALLA, SC 29691-1927
(864) 916-0680
Mailing address
21 DOWNS LOOP, CLEMSON, SC 29631-2009
(864) 916-0680
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12069
SC
3336C0004X
Compounding Pharmacy
12069
SC
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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