Healthcare Provider Details

I. General information

NPI: 1659798361
Provider Name (Legal Business Name): BLUE RIDGE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 FAIRVIEW RD SUITE 100
ASHEVILLE NC
28803-1011
US

IV. Provider business mailing address

805 FAIRVIEW RD SUITE 100
ASHEVILLE NC
28803-1011
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-3636
  • Fax: 828-298-8190
Mailing address:
  • Phone: 828-298-3636
  • Fax: 828-298-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9136
License Number StateNC

VIII. Authorized Official

Name: DR. ROBERT DEAN CLAYTON
Title or Position: OWNER/CFO
Credential: PHARM.D.
Phone: 828-298-3636