| NPI | 1023268703 |
|---|---|
| Doing Business As | BLUE RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIE ACRA Owner 317-286-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006168A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-11-23 |