| NPI | 1548033038 |
|---|---|
| Doing Business As | BLU LANE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | T'ANDRA AUBREY Managing Officer 346-516-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-12-18 |