Organization · Type 2 NPI

Blue Water Pharmacy LLC

Community/Retail Pharmacy · Port Huron, MI

NPI number 1598092769 Active

Practice location

1524 10th Street
Port Huron, MI 48060

Fax (810) 982-3106

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5301009241 (MI)
Compounding Pharmacy	3336C0004X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Blue Water Pharmacy LLCLong Term Care Pharmacy Port Huron, MI NPI 1568091957

Other community/retail pharmacy providers in Port Huron

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NPI record

NPI: 1598092769
Entity type: Organization (Type 2)
Issued: Nov 10, 2009
Last updated: Jun 19, 2023
Status: Active

Other names

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Blue Water Pharmacy · former legal business name
Blue Water Pharmacy · former legal business name

Authorized official

Manish Patel
Owner
(813) 304-2221

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1598092769

Blue Water Pharmacy LLC's National Provider Identifier is 1598092769, issued on Nov 10, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Port Huron, MI. The record was last updated on Jun 19, 2023.