Organization
BLUE STAR PHARMACY INC
Active
Organization
BLUE STAR PHARMACY INC
Active
Other names
BLUE STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE HERNANDEZ (PRESIDENT)
(305) 222-1818
Entity
Organization
Contact information
Practice address
3009 SW 107TH AVE, MIAMI, FL 33165-2434
(305) 222-1818
(305) 222-1819
Mailing address
3009 SW 107TH AVE, MIAMI, FL 33165-2434
(305) 222-1818
(305) 222-1819
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003954400
—
FL
01
—
2126323
PK
—
Enumeration date
08/19/2010
Last updated
03/31/2015
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