Provider First Line Business Practice Location Address:
306 WILKESBORO AVE
Provider Second Line Business Practice Location Address:
BLUE RIDGE PHARMACY MIDTOWN
Provider Business Practice Location Address City Name:
NORTH WILKESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28659-4228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-838-3782
Provider Business Practice Location Address Fax Number:
336-838-2432
Provider Enumeration Date:
11/06/2013