Blue River Pharmacy

LBN: Blue River Pharmacy Inc
Blue River Pharmacy is an health care organization with primary practice located at 26 S Green St , Brownsburg IN 46112-1251. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Blue River Pharmacy Inc can be contacted via phone (317) 286-3506, or through Cruzan, Paul via phone (317) 286-3506.

Contact Information

Primary practice address
26 S Green St Brownsburg IN 46112-1251
Phone: (317) 286-3506
Fax: (317) 350-2917
Website:
Map and Directions
Authorized official contact:
Name: Cruzan, Paul
Phone: (317) 286-3506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164090825
LBN Legal business name Blue River Pharmacy Inc
DBA Doing business as Blue River Pharmacy
Authorized official Cruzan, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2021
Last updated Jun 22nd, 2021 - about 3 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 1164090825 NPPES
Indiana MEDICAID 200914920A

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