Individual
GRANT SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 N MAIN ST, WALNUT COVE, NC 27052-9248
(336) 591-4351
Mailing address
160 JAMES RD UNIT 1D, HIGH POINT, NC 27265-2397
(410) 960-5642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29939
NC
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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