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BEAM AND BLIZZARD LLC

Medical Equipment Supplier Yellow Pages

Indian Trail, North Carolina

Provider NPI: 1740374974

Organization Information:
Organization Name:  BEAM AND BLIZZARD LLC


Practice Location:
106 INDIAN TRAIL RD S  INDIAN TRAIL, NC 28079 US
Tel: 704-821-7617  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
NC11558

Other Provider Identifiers:

IssuerNumberStateType
0905117NC05
PK214046401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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