Provider First Line Business Practice Location Address:
298 PERKINS RD SE
Provider Second Line Business Practice Location Address:
BLUE RIDGE LONG TERM CARE PHARMACY
Provider Business Practice Location Address City Name:
VALDESE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-580-5460
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/06/2010