| NPI | 1598092769 |
|---|---|
| Former Legal Business Name | BLUE WATER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MANISH PATEL Owner 813-304-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009241) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2023-06-19 |