Organization
BRIDGE STREET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GILL RIPLEY PHARMACIST (PRESIDENT/OWNER/MANAGER)
(336) 835-3131
Entity
Organization
Contact information
Practice address
817 N BRIDGE ST, ELKIN, NC 28621-3008
(336) 835-3131
(336) 835-2358
Mailing address
817 N BRIDGE ST, ELKIN, NC 28621-3008
(336) 835-3131
(336) 835-2358
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07272
NC
333600000X
Pharmacy
07272
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865428
—
NC
05
—
1427194570
—
VA
05
—
7701236
—
NC
05
—
7795397
—
NC
05
—
7795398
—
NC
Enumeration date
01/29/2007
Last updated
07/17/2012
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