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Organization

HOSPITAL DRIVE PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G. PROFFITT RPH (OWNER)
(828) 765-2025
Entity
Organization

Contact information

Practice address
409 ALTAPASS HWY, SPRUCE PINE, NC 28777-6508
(828) 765-2025
(828) 765-3470
Mailing address
409 ALTAPASS HWY, SPRUCE PINE, NC 28777-6508
(828) 765-2025
(828) 765-3470

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3539
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0615112
NC
05
7700447
NC
Enumeration date
03/02/2007
Last updated
08/22/2020
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