Organization
RPV2 CO
Active
Other names
Sapphire Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTSNABEN PATEL (PRESIDENT)
(989) 895-3880
Entity
Organization
Contact information
Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 895-3880
(989) 895-3898
Mailing address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 895-3880
(989) 895-3898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374041
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/07/2010
Last updated
03/22/2011
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