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Contact Information

BLUE RIVER PHARMACY INC
26 S GREEN ST
BROWNSBURG, IN46112-1251
 Phone: 317-286-3506
 Fax: 317-350-2917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BLUE RIVER PHARMACY INC

NPI # 1023268703
LBN Legal business name BLUE RIVER PHARMACY INC
Authorized official JULIE ACRA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2008
Last updated 06/25/2025 - About 11 months ago
Identifiers
IN License # 60006168A
IN Medicaid 200914920A
Other 2117408 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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