| NPI | 1982056529 |
|---|---|
| Doing Business As | PHARMBLUE TENNESSEE LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NELSON Owner, CEO, AO 724-779-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000005865) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2017-03-31 |