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 |