# ETHANS GLOBAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Dove Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316691041
- **Authorized official:** DR. JACQUELINE MBWILLE SAKAYA PHARMD (PHARMACIST/OWNER)
- **Authorized official phone:** (734) 667-1764

## Contact information

- **Practice address:** 300 W MICHIGAN AVE STE 200, YPSILANTI, MI 48197-5443
- **Practice address phone:** (734) 667-1764
- **Practice address fax:** (888) 850-9288
- **Mailing address:** 300 W MICHIGAN AVE STE 200, YPSILANTI, MI 48197-5443
- **Mailing address phone:** (734) 667-1764
- **Mailing address fax:** (888) 850-9288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2022
- **Last updated:** 10/02/2025
