# BLUE PHARMACY LLC

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

## Provider details

- **NPI number:** 1497590426
- **Authorized official:** MANISH PATEL (PHARMACY OWNER)
- **Authorized official phone:** (313) 899-4120

## Contact information

- **Practice address:** 6240 MICHIGAN AVE, DETROIT, MI 48210-2953
- **Practice address phone:** (313) 899-4120
- **Practice address fax:** (313) 899-4124
- **Mailing address:** 6240 MICHIGAN AVE, DETROIT, MI 48210-2953
- **Mailing address phone:** (313) 899-4120
- **Mailing address fax:** (313) 899-4124

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024