Organization
PHARMBLUE NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN RUSSELL (DIRECTOR OF REGULATORY AFFAIRS)
(724) 779-4720
Entity
Organization
Contact information
Practice address
26 BRUCKNER BLVD, UNIT 42B, BRONX, NY 10454-4433
(718) 443-6000
(718) 874-3638
Mailing address
PO BOX 1858, CRANBERRY TOWNSHIP, PA 16066-0858
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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