| NPI | 1881653525 |
|---|---|
| Doing Business As | BLUE RIDGE PHARMACY NORTHPARK |
| Entity Type | Organization |
| Authorized Contact | THOMAS HUFFMAN Phcy Manager Owner 336-667-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05164) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2016-03-30 |