Yadkin Valley Health Care LLC
Organization Active NPI Long Term Care Pharmacy · Denton, NC
NPI 1972510071 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1972510071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 08419 (NC)
- Legal business name
- YADKIN VALLEY HEALTH CARE LLC
- Practice address
- 17955 NC Hwy 109 S
Denton, NC 27239 - Phone
- (336) 859-0272
- Fax
- (336) 859-2192
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Delbert Marvin Cranford, RPH
- Title
- Manager Pharmacist
- Phone
- (336) 859-0272
National Provider Directory
Locations
17955 S NC Highway 109
Denton, NC 27239
Phone (336) 859-0272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 08419 | NC | Yes |
Addresses
Primary practice location
17955 NC Hwy 109 S
Denton, NC 27239
Mailing address
17955 NC Hwy 109 S
Denton, NC 27239
Phone (336) 859-0272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0295830 | Medicaid | NC |
Other providers in Denton, NC
All providers in Denton, NC · Long Term Care Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.