Organization
HALSEY DRUG LLC
Active
Other names
Warrensville Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER W HODGES PHARMD (VICE PRESIDENT)
(828) 264-3055
Entity
Organization
Contact information
Practice address
5121 NC HIGHWAY 88 WEST, WARRENSVILLE, NC 28693-9209
(336) 384-3900
(336) 384-4041
Mailing address
345 DEERFIELD RD, BOONE, NC 28607-5009
(828) 355-3365
(828) 264-0543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
04679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055129
—
NC
05
—
008515867
—
VA
01
—
3423770
BNDD NUMBER
—
Enumeration date
08/30/2005
Last updated
03/04/2025
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