# BLUE RIDGE HEALTH SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CROFTON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235950577
- **Authorized official:** MRS. MORONKE A OBARO RPH (OWNER)
- **Authorized official phone:** (240) 354-5818

## Contact information

- **Practice address:** 1053 MD RT 3 N STE 4, GAMBRILLS, MD 21054-1781
- **Practice address phone:** (240) 354-5818
- **Mailing address:** 2680 EVERGREEN RD, ODENTON, MD 21113-2311
- **Mailing address phone:** (240) 354-5818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | NULL | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/19/2024
- **Last updated:** 10/19/2024