Organization
EBP LLC
Active
Other names
EAST BURKE PHARMACY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER W HODGES PHARMD (VICE PRESIDENT)
(828) 264-3055
Entity
Organization
Contact information
Practice address
300 MAIN AVE W, HILDEBRAN, NC 28637-8315
(828) 397-3420
(828) 397-3477
Mailing address
345 DEERFIELD RD, BOONE, NC 28607-5009
(828) 355-3365
(828) 264-0543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150943
PK
—
Enumeration date
08/19/2006
Last updated
03/07/2025
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