Healthcare Provider Details

I. General information

NPI: 1154241420
Provider Name (Legal Business Name): BLUE MERCURY MED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 GROVE RD
BOYNTON BEACH FL
33435-1661
US

IV. Provider business mailing address

3009 GROVE RD
BOYNTON BEACH FL
33435-1661
US

V. Phone/Fax

Practice location:
  • Phone: 864-340-3616
  • Fax:
Mailing address:
  • Phone: 864-340-3616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARILYN S SADLER
Title or Position: MANAGER
Credential:
Phone: 864-340-3616