Organization
BLUE WATER HEALTH PHARMACY
Active
Organization
BLUE WATER HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSEF DABAJA (OWNER)
(313) 674-6559
Entity
Organization
Contact information
Practice address
35284 23 MILE RD STE B, NEW BALTIMORE, MI 48047-2096
(313) 674-6559
Mailing address
35284 23 MILE RD STE B, NEW BALTIMORE, MI 48047-2096
(313) 674-6559
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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