Organization
ST VINCENTS MEDICAL CENTER
Active
Other names
St Vincent's Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GIVEN (VP FINANCE)
(475) 210-6193
Entity
Organization
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5713
(203) 581-6599
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5713
(203) 581-6599
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0002237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722896
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/29/2012
Last updated
02/01/2022
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