Indian Trail Pharmacy

LBN: Beam And Blizzard, Llc
Indian Trail Pharmacy is an health care organization with primary practice located at 106 Indian Trail Rd S , Indian Trail NC 28079-9669. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Beam And Blizzard, Llc can be contacted via phone (704) 821-7617, or through Devine, Terry A via phone (704) 821-7617.

Contact Information

Primary practice address
106 Indian Trail Rd S Indian Trail NC 28079-9669
Phone: (704) 821-7617
Fax: (704) 821-0177
Website:
Map and Directions
Authorized official contact:
Name: Devine, Terry A PHARMD
Phone: (704) 821-7617

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 11558 North Carolina

Profile Details

NPI number 1407252745
LBN Legal business name Beam And Blizzard, Llc
DBA Doing business as Indian Trail Pharmacy
Authorized official Devine, Terry A PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2014
Last updated Dec 1st, 2014 - about 12 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 1407252745 NPPES
North Carolina MEDICAID 0905117
North Carolina Other 6973150001

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