# WALHALLA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972998128
- **Authorized official:** DR. YOUSSEF GEORGE ELAFFY PHARM-D, CGP (OWNER, PIC)
- **Authorized official phone:** (864) 916-0680

## Contact information

- **Practice address:** 206 E MAIN ST, WALHALLA, SC 29691-1927
- **Practice address phone:** (864) 916-0680
- **Mailing address:** 21 DOWNS LOOP, CLEMSON, SC 29631-2009
- **Mailing address phone:** (864) 916-0680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 12069 | SC | Yes |
| 3336C0004X | Compounding Pharmacy | 12069 | SC | — |

## Other

- **Enumeration date:** 04/04/2015
- **Last updated:** 04/04/2015
