Blue River Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Brownsburg, IN. Organization (NPI-2).
NPI number1164090825
StatusActive
Last updated in NPPESJun 25, 2025
Details
- NPI
- 1164090825
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue River Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2021
- Certification date
- Jun 25, 2025
- Last updated
- Jun 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – |
Other names
- Blue River Pharmacy (Doing Business As)
Practice location
26 S Green StBrownsburg, IN 46112-1251
Phone 317-286-3506 · Fax 317-350-2917
Mailing address
26 S Green StBrownsburg, IN 46112-1251
Phone 317-286-3506 · Fax 317-350-2917
Authorized official
Paul Cruzan
President
3172863506
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