Organization
BLUEBERRY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE RICHARD MCCORMICK PHARMD (MANAGER)
(412) 612-2279
Entity
Organization
Contact information
Practice address
1018 W VIEW PARK DR, PITTSBURGH, PA 15229-1771
(412) 612-2279
(888) 852-4489
Mailing address
1018 W VIEW PARK DR, PITTSBURGH, PA 15229-1771
(412) 612-2279
(888) 852-4489
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482949
BOARD OF PHARMACY PERMIT
PA
Enumeration date
03/06/2020
Last updated
06/17/2025
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