MEDICARE: EBP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	12534	NC

General Provider Information

NPI Number	:	1861851859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EBP LLC

Provider Business Mailing Address
First Line	:	345 DEERFIELD RD
Second Line	:
City	:	BOONE
State	:	NC
Zip	:	28607-5009
Country	:	US
Telephone Number	:	828-355-3365
Fax Number	:	828-264-0543

Provider Business Practice Location Address
First Line	:	300 MAIN AVE W
Second Line	:
City	:	HILDEBRAN
State	:	NC
Zip	:	28637-8315
Country	:	US
Telephone Number	:	828-397-3420
Fax Number	:	828-264-0543

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	SPENCER W HODGES
Credential	:	PHARMD
Telephone Number	:	828-264-3055

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	03/07/2025

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Directions to “EBP LLC ” Practice Location

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