Organization
BLUE RIVER PHARMACY INC
Active
Organization
BLUE RIVER PHARMACY INC
Active
Other names
Blue River Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ACRA PHARMACY (OWNER)
(317) 286-3506
Entity
Organization
Contact information
Practice address
26 S GREEN ST, BROWNSBURG, IN 46112-1251
(317) 286-3506
(317) 350-2917
Mailing address
26 S GREEN ST, BROWNSBURG, IN 46112-1251
(317) 286-3506
(317) 350-2917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006168A
IN
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200914920A
—
IN
01
—
2117408
PK
—
Enumeration date
09/30/2008
Last updated
06/25/2025
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