Bridgeport Pharmacy Inc in Bridgeport - Pharmacist
Bridgeport Pharmacy Inc - NPI 1114917242
Bridgeport Pharmacy Inc is a Pharmacist in Bridgeport, Michigan. Bridgeport Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bridgeport Pharmacy Inc is 1114917242. The last update date is 2008-02-29.
Bridgeport Pharmacy Inc's current location address is 6224 Dixie Hwy, Bridgeport, Michigan. You can contact this provider via phone number 9897772900 and fax number 9897774649. The mailing address for Bridgeport Pharmacy Inc is 6224 Dixie Hwy, Bridgeport, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bridgeport Pharmacy Inc |
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Address | 6224 Dixie Hwy, Bridgeport, Michigan |
Phone Number | 9897772900 |
Fax Number | 9897774649 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | REGISTERED |
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Authorized Official Name | Boettcher William Raymond |
Telephone Number | 9897772900 |
NPI Number Detail
NPI Number | 1114917242 |
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Provider Enumeration Date | 2005-10-28 |
Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
Address | 6224 Dixie Hwy |
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City | Bridgeport |
State | Michigan (MI) |
Post Code | 487229513 |
Phone Number | 9897772900 |
Fax Number | 9897774649 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 5302025343 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2359998 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bridgeport Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Bridgeport Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1114917242 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bridgeport Pharmacy Inc is physically located?
The Bridgeport Pharmacy Inc is physically situated at the following address: 6224 Dixie Hwy, Bridgeport, MI, 487229513.
What is Bridgeport Pharmacy Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bridgeport Pharmacy Inc is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date was the 1114917242 assigned to Bridgeport Pharmacy Inc?
The Bridgeport Pharmacy Inc was issued its 1114917242 on 2005-10-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bridgeport Pharmacy Inc most recently updated or revised?
The details related to Bridgeport Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-29.