Provider Demographics
NPI:1225445885
Name:WALDROP, DARYL (RPH)
Entity Type:Individual
Prefix:MR
First Name:DARYL
Middle Name:
Last Name:WALDROP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 FOREST GATE CTR
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-7903
Mailing Address - Country:US
Mailing Address - Phone:828-885-7904
Mailing Address - Fax:828-885-7906
Practice Address - Street 1:3 WALDROP TRL
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759-9504
Practice Address - Country:US
Practice Address - Phone:828-885-7904
Practice Address - Fax:828-885-7906
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist