Organization
BRIDGE STREET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GILL RIPLEY RPH (PRESIDENT OWNER)
(336) 835-4100
Entity
Organization
Contact information
Practice address
817 N BRIDGE ST, ELKIN, NC 28621
(336) 835-3131
(336) 835-2358
Mailing address
817 N BRIDGE ST, ELKIN, NC 28621
(336) 835-3131
(336) 835-2358
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
07272
NC
3336C0003X
Community/Retail Pharmacy
Primary
7272
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865428
—
NC
05
—
7701236
—
NC
Enumeration date
05/10/2006
Last updated
09/30/2015
Update your record
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