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BLUE WATER PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Port Huron, Michigan

Provider NPI: 1598092769

Organization Information:
Organization Name:  BLUE WATER PHARMACY LLC


Practice Location:
1524 10TH STREET  PORT HURON, MI 48060 US
Tel: 813-982-3100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MI5301009241

Other Provider Identifiers:

IssuerNumberStateType
PK212266501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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