Organization
BLUESTONE PHARMACY LLC
Active
Other names
BLUESTONE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA PATEL PHARMACIST (OWNER)
(734) 658-4418
Entity
Organization
Contact information
Practice address
555 REPUBLIC DR STE 108, PLANO, TX 75074-5427
(469) 591-1680
Mailing address
915 W PARKER RD STE 321A, PLANO, TX 75023-7136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33551
TEXAS LICENSE NUMBER
TX
Enumeration date
11/16/2020
Last updated
05/17/2022
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