| NPI | 1568091957 |
|---|---|
| Doing Business As | BLUE WATER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALPESH PATEL Owner 813-304-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-08-25 |