Organization
HERITAGE PHARMACY GROUP LLC
Active
Other names
CUSTOMRX PHARMACY, D&D PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DELVAUX (MANAGING MEMBER/OWNER)
(631) 374-1911
Entity
Organization
Contact information
Practice address
10099 WEDDINGTON RD EXT, STE 120, STE 120, CONCORD, NC 28027
(432) 553-0051
Mailing address
10099 WEDDINGTON RD EXT, STE 120, CONCORD, NC 28027
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
01/16/2026
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