Organization
PHARMBLUE NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NELSON (CEO)
(724) 779-4720
Entity
Organization
Contact information
Practice address
300 N GRACE ST, SUITE 150, ROCKY MOUNT, NC 27804-5345
(800) 609-0822
(844) 873-8761
Mailing address
40 PENNWOOD PL, SUITE 300, WARRENDALE, PA 15086-6512
(724) 779-4720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12931
NC
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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