Organization
YADKIN VALLEY HEALTH CARE LLC
Active
Organization
YADKIN VALLEY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELBERT MARVIN CRANFORD RPH (MANAGER PHARMACIST)
(336) 859-0272
Entity
Organization
Contact information
Practice address
17955 NC HWY 109 S, DENTON, NC 27239
(336) 859-0272
(336) 859-2192
Mailing address
17955 NC HWY 109 S, DENTON, NC 27239
(336) 859-0272
(336) 859-2192
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
08419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295830
—
NC
Enumeration date
08/02/2006
Last updated
08/22/2020
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