Blue Ridge Pharmacy Midtown

LBN: Beam & Manus Inc
Blue Ridge Pharmacy Midtown is an health care organization with primary practice located at 306 Wilkesboro Ave , N Wilkesboro NC 28659-4228. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Beam & Manus Inc can be contacted via phone (336) 838-3782, or through Koontz, Joseph via phone (336) 838-3782.

Contact Information

Primary practice address
306 Wilkesboro Ave N Wilkesboro NC 28659-4228
Fax: (336) 838-2432
Website:
Authorized official contact:
Name: Koontz, Joseph RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 04955 North Carolina

Profile Details

NPI number 1669577110
LBN Legal business name Beam & Manus Inc
DBA Doing business as Blue Ridge Pharmacy Midtown
Authorized official Koontz, Joseph RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 17th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669577110 NPPES
North Carolina MEDICAID 0975300
North Carolina MEDICAID 0511620001
North Carolina Other 2067611

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