Organization
BRIDGEPORT PHARMACY, INC
Active
Parent organization
BRIDGEPORT PHARMACY INC
Other names
Bridgeport Home Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGEPORT PHARMACY INC
Authorized official
MRS. KAREN MARIE BOETTCHER (VICE PRESIDENT)
(989) 777-3286
Entity
Organization
Contact information
Practice address
6226 DIXIE HWY, BRIDGEPORT, MI 48722-9513
(989) 777-3286
(989) 777-3384
Mailing address
6226 DIXIE HWY, BRIDGEPORT, MI 48722-9513
(989) 777-3286
(989) 777-3384
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
10657A
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G30386
BLUE CROSS BLUE SHIELD
MI
05
—
4226131
—
MI
Enumeration date
05/01/2006
Last updated
12/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us