# BLUE HILL PHARMACY LTC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NKANYIMUO REAL ESTATE
- **Other names:** BLUE HILL PHARMACY LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689361016
- **Legal business name:** NKANYIMUO REAL ESTATE
- **Authorized official:** MS. VICTORIA N OKEKE RPH (OWNER/ PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (617) 652-7546

## Contact information

- **Practice address:** 320 BLUE HILL AVE, DORCHESTER, MA 02121-1951
- **Practice address phone:** (617) 654-7546
- **Practice address fax:** (617) 652-7561
- **Mailing address:** 320 BLUE HILL AVE, DORCHESTER, MA 02121-1951
- **Mailing address phone:** (617) 654-7546
- **Mailing address fax:** (617) 652-7561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110102251A | — | MA |