Organization
BEAM AND WORLEY INC
Active
Other names
BLUE RIDGE PHARMACY NORTHPARK
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUFFMAN PHARMD RPH (PHCY MANAGER OWNER)
(336) 667-6484
Entity
Organization
Contact information
Practice address
23 SPARTA RD, SUITE A, N WILKESBORO, NC 28659-3185
(336) 667-6484
(336) 838-9597
Mailing address
23 SPARTA RD, SUITE A, N WILKESBORO, NC 28659-3185
(336) 667-6484
(336) 838-9597
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975367
—
NC
01
—
2069273
PK
—
Enumeration date
03/21/2006
Last updated
03/30/2016
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