NPI | 1316691041 |
---|---|
Doing Business As | BLUE DOVE PHARMACY |
Entity Type | Organization |
Authorized Contact | JACQUELINE MBWILLE SAKAYA Pharmacist/Owner 734-667-1764 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-10 |