| NPI | 1043762230 |
|---|---|
| Doing Business As | BLACKSTONE VALLEY COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROWN Vice President, Managed Services 281-749-4764 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI PHA00614) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-09-20 |