Bluegrass Pharmacy

LBN: Bluegrass Llc
Bluegrass Pharmacy is an health care organization with primary practice located at 656 W Street Rd , Feasterville Trevose PA 19053-5963. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bluegrass Llc can be contacted via phone (215) 676-7650, or through Kazarov, Julia via phone (215) 990-7700.

Contact Information

Primary practice address
656 W Street Rd Feasterville Trevose PA 19053-5963
Phone: (215) 676-7650
Fax: (215) 676-8086
Website:
Map and Directions
Authorized official contact:
Name: Kazarov, Julia
Phone: (215) 990-7700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP481659 Pennsylvania

Profile Details

NPI number 1891858411
LBN Legal business name Bluegrass Llc
DBA Doing business as Bluegrass Pharmacy
Authorized official Kazarov, Julia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 16th, 2024 - about 8 months 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 1891858411 NPPES
Pennsylvania MEDICAID 10186675001
Pennsylvania Other 2081747

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