| NPI | 1184760795 |
|---|---|
| Doing Business As | BLUE RIDGE LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RON FULMER Pharmacy Manager 828-580-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 08253) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-12-31 |