Organization
ROCK DRUG OF VALDESE, LLC
Active
Other names
Rock Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRUCE CANNON RPH (MANAGER, LLC)
(828) 879-2415
Entity
Organization
Contact information
Practice address
240 MAIN ST W, VALDESE, NC 28690-2835
(828) 874-2415
(828) 874-8915
Mailing address
240 MAIN ST W, VALDESE, NC 28690-2835
(828) 874-2415
(828) 874-8915
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962584755
—
NC
Enumeration date
10/02/2015
Last updated
10/02/2015
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