| NPI | 1811349434 |
|---|---|
| Doing Business As | PHARMBLUE OREGON LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NELSON CEO 724-779-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OR RP-0003221-CS) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2017-03-23 |