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--MGR LLC (MANAGER LLC)
(828) 879-9812
Entity
Organization
Contact information
Practice address
240 MAIN ST W, VALDESE, NC 28690-2835
(828) 879-9812
(828) 874-8915
Mailing address
PO BOX 248, 240 MAIN ST WEST, VALDESE, NC 28690-2835
(828) 879-9812
(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
01
—
3411725
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
06/09/2014
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