| NPI | 1669577110 |
|---|---|
| Doing Business As | BLUE RIDGE PHARMACY MIDTOWN |
| Entity Type | Organization |
| Authorized Contact | JOSEPH KOONTZ PIC And Owner 336-838-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 04955) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-01-17 |