Organization
NKANYIMUO REAL ESTATE LLC
Active
Other names
Blue Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA N OKEKE RPH (OWNER/ PHARMACIST-IN-CHARGE)
(617) 652-7546
Entity
Organization
Contact information
Practice address
320 BLUE HILL AVE, STORE, DORCHESTER, MA 02121-1951
(617) 652-7546
(617) 652-7561
Mailing address
BLUE HILL PHARMACY, 320 BLUE HILL AVE., DORCHESTER, MA 02121-1951
(617) 652-7546
(617) 652-7561
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102251A
—
MA
01
—
2141994
PK
—
Enumeration date
09/04/2013
Last updated
06/29/2023
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