Organization
BRIDGEPORT FAMILY PHARMACY
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROIBERT DOUD (MANAGER)
(253) 238-2230
Entity
Organization
Contact information
Practice address
30809 1ST AVE S STE K, FEDERAL WAY, WA 98003-4074
(253) 839-3100
(253) 941-4310
Mailing address
7424 BRIDGEPORT WAY W STE 207, LAKEWOOD, WA 98499-8134
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903832
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6028328
—
WA
Enumeration date
06/13/2006
Last updated
09/11/2025
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