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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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