VALUE RX BLUEGRASS LLC
520 W Lincoln Ave
Chandler, IN 47610
812-925-3347
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | IN | 60002501A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
300012994 | IN | MEDICAID | |
PK | 2175830 | OTHER |