Healthcare Provider Details

I. General information

NPI: 1457344988
Provider Name (Legal Business Name): HALSEY DRUG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 03/04/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 NC HIGHWAY 88 WEST
WARRENSVILLE NC
28693-9209
US

IV. Provider business mailing address

345 DEERFIELD RD
BOONE NC
28607-5009
US

V. Phone/Fax

Practice location:
  • Phone: 336-384-3900
  • Fax: 336-384-4041
Mailing address:
  • Phone: 828-355-3365
  • Fax: 828-264-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number04679
License Number StateNC

VIII. Authorized Official

Name: SPENCER W HODGES
Title or Position: VICE PRESIDENT
Credential: PHARMD
Phone: 828-264-3055