Organization
BRIDGE HEALTHCARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DABAJA (OWNER/PIC)
(269) 467-3510
Entity
Organization
Contact information
Practice address
658 E. MAIN ST, SUITE 1, CENTREVILLE, MI 49032
(269) 467-3510
(269) 467-3515
Mailing address
P.O. BOX 22, NAZARETH, MI 49074
(269) 467-3510
(269) 467-3515
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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