Provider Demographics
NPI:1821310012
Name:HUFFSTETLER, DELVIN SYLVANUS (RPH)
Entity Type:Individual
Prefix:MR
First Name:DELVIN
Middle Name:SYLVANUS
Last Name:HUFFSTETLER
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 1:1704 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4040
Mailing Address - Country:US
Mailing Address - Phone:252-726-2106
Mailing Address - Fax:252-726-4457
Practice Address - Street 1:1704 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4040
Practice Address - Country:US
Practice Address - Phone:252-726-2106
Practice Address - Fax:252-726-4457
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC04323183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist