Organization
BRIDGEPORT COMMUNITY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD S IQBAL PHARMD (OWNER)
(203) 330-9191
Entity
Organization
Contact information
Practice address
850 STATE ST, BRIDGEPORT, CT 06604-3728
(203) 330-9191
(203) 330-9193
Mailing address
850 STATE ST, BRIDGEPORT, CT 06604-3728
(203) 330-9191
(203) 330-9193
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02321
CT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
03/25/2024
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