Organization
T AND P PHARMACY
Active
Other names
Blue Ridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PURVIS RPH (OWNER)
(706) 632-2244
Entity
Organization
Contact information
Practice address
6020 APPALACHIAN HWY, BLUE RIDGE, GA 30513-4283
(706) 632-2244
(706) 632-4440
Mailing address
6020 APPALACHIAN HWY, BLUE RIDGE, GA 30513-4283
(706) 632-2244
(706) 632-4440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009677
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000022107A
—
GA
01
—
2127040
PK
—
Enumeration date
12/13/2006
Last updated
04/28/2017
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