Healthcare Provider Details

I. General information

NPI: 1821310012
Provider Name (Legal Business Name): DELVIN SYLVANUS HUFFSTETLER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 ARENDELL ST
MOREHEAD CITY NC
28557-4040
US

IV. Provider business mailing address

1704 ARENDELL ST
MOREHEAD CITY NC
28557-4040
US

V. Phone/Fax

Practice location:
  • Phone: 252-726-2106
  • Fax: 252-726-4457
Mailing address:
  • Phone: 252-726-2106
  • Fax: 252-726-4457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number04323
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: