Individual
HUBERT VERNON MASSENGILL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 MAIN ST, YANCEYVILLE, NC 27379-8793
(336) 694-4104
(336) 694-5823
Mailing address
PO BOX 1209, YANCEYVILLE, NC 27379-1209
(336) 694-4104
(336) 694-5823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05846
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194744342
—
NC
Enumeration date
02/22/2019
Last updated
02/22/2019
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