Blue Water Pharmacy
LBN: Blue Water Pharmacy Llc
Blue Water Pharmacy is an health care organization with primary practice located at 1524 10Th Street , Port Huron MI 48060. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Blue Water Pharmacy Llc can be contacted via phone (813) 982-3100, or through Patel, Manish via phone (813) 304-2221.
Contact Information
Primary practice address
1524 10Th Street
Port Huron MI 48060
Phone: (813) 982-3100
Fax: (810) 982-3106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301009241 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1598092769 |
|---|---|
| LBN Legal business name | Blue Water Pharmacy Llc |
| DBA Doing business as | Blue Water Pharmacy |
| Authorized official | Patel, Manish |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2009 |
| Last updated | Jun 19th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598092769 | NPPES |
| Other | 2122665 | PK |
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