Organization
BLUE HILL PHARMACY LTC
Active
Parent organization
NKANYIMUO REAL ESTATE
Other names
BLUE HILL PHARMACY LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NKANYIMUO REAL ESTATE
Authorized official
MS. VICTORIA N OKEKE RPH (OWNER/ PHARMACIST-IN-CHARGE)
(617) 652-7546
Entity
Organization
Contact information
Practice address
320 BLUE HILL AVE, DORCHESTER, MA 02121-1951
(617) 654-7546
(617) 652-7561
Mailing address
320 BLUE HILL AVE, DORCHESTER, MA 02121-1951
(617) 654-7546
(617) 652-7561
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102251A
—
MA
Enumeration date
04/18/2023
Last updated
04/18/2023
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