NPI | 1417263104 |
---|---|
Doing Business As | BLUE STAR PHARMACY |
Entity Type | Organization |
Authorized Contact | JOSE HERNANDEZ President 305-222-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24830) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-08-19 |
Last Update Date | 2015-03-31 |