NPI 1740374974 · live from the CMS NPI Registry
Beam And Blizzard LLC
Pharmacy, Community/Retail Pharmacy in Indian Trail, NC. National Provider Identifier 1740374974, active.
NPI record
| NPI | 1740374974 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 106 Indian Trail Rd S, Indian Trail, NC 28079 |
| Practice phone | 704-821-7617 |
| Enumerated | October 3, 2006 |
| Last updated | November 10, 2014 |
| Authorized official | Terry Devine, Manager |
| Other names | Indian Trail Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 11558 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.