OrganizationActive
Beam and Blizzard, LLC
NPI 1407252745 · Pharmacy · Indian Trail, NC
Provider details
- NPI number
- 1407252745
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Terry Devine, Pharmacy Manager(704) 821-7617
- License
- 11558 (NC)
Specialties & taxonomies
Suppliers
Practice location
106 Indian Trail Rd S
Indian Trail, NC 28079-9669
Phone: (704) 821-7617
Fax: (704) 821-0177
Approximate (ZIP-level) locationGet directions
Mailing address
106 Indian Trail Rd S
Indian Trail, NC 28079-9669
Other names (DBA / former)
- Doing business as
- Indian Trail Pharmacy
Registry dates
- Enumerated
- 2014-11-14
- Last updated
- 2014-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.