Ebony Blue

Pharmacist · Dublin, GA

Individual Active NPI

NPI number 1629415815

Practice location

1100 Hillcrest Pkwy
Dublin, GA 31021-4366
Phone
(478) 277-3085

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NPI record

NPI
1629415815
Entity type
Individual (Type 1)
Enumeration date
May 28, 2013
Last updated
May 28, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH024954 GA

Mailing address

456 Bridgemill Dr
East Dublin, GA 31027-8313

About Ebony Blue

Ebony Blue is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1100 Hillcrest Pkwy, Dublin, GA 31021-4366. The NPI number 1629415815 was assigned on May 28, 2013 and the record was last updated on May 28, 2013.

Ebony Blue lists a license in the registry: #RPH024954 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ebony Blue?

The NPI number is 1629415815.

What is the phone number of Ebony Blue?

The phone number listed for the practice location is (478) 277-3085.

Where is Ebony Blue located?

1100 Hillcrest Pkwy, Dublin, GA 31021-4366.

What is the taxonomy code for Ebony Blue?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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