Organization
BLUE RIDGE HEALTHCARE HOSPITALS INC
Active
Other names
BLUE RIDGE LONG TERM CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RON FULMER BS (PHARMACY MANAGER)
(828) 580-5464
Entity
Organization
Contact information
Practice address
298 PERKINS RD SE, VALDESE, NC 28690-9403
(828) 580-5464
(828) 874-2679
Mailing address
298 PERKINS RD SE, VALDESE, NC 28690-9403
(828) 580-5464
(828) 874-2679
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08253
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125070
—
NC
01
—
2067509
PK
—
Enumeration date
01/30/2007
Last updated
12/31/2015
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