OrganizationActive
Beam and Blizzard LLC
NPI 1740374974 · Community/Retail Pharmacy · Indian Trail, NC
Provider details
- NPI number
- 1740374974
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Terry Devine, Manager(704) 821-7617
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
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
- 2006-10-03
- Last updated
- 2014-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.