Organization
BRIDGEPORT PHARMACY INC
Active
Other names
Bridgeport Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD SALMAN (OWNER/ PHARMACY MANAGER)
(304) 203-4927
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DR STE 105, BRIDGEPORT, WV 26330-9009
(304) 933-3880
(304) 933-3887
Mailing address
527 MEDICAL PARK DR STE 105, BRIDGEPORT, WV 26330-9009
(304) 933-3880
(304) 933-3887
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552462
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148743
PK
—
Enumeration date
06/25/2014
Last updated
06/16/2016
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