| NPI | 1780055434 |
|---|---|
| Doing Business As | PHARMBLUE LLC |
| Entity Type | Organization |
| Authorized Contact | CARL CODY COLQUITT CFO 469-592-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035289) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP482599) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2024-06-27 |