| NPI | 1639563943 |
|---|---|
| Doing Business As | MISSION PHARMACY - BLUE RIDGE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GENTILCORE Director 828-213-0048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12542) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |