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:
Map and Directions
Authorized official contact:
Name: Patel, Manish
Phone: (813) 304-2221

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598092769 NPPES
Other 2122665 PK

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