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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