Organization
BRIDGES & JAMES INC
Active
Other names
Wannamaker Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BRIDGES (OWNER/PRESIDENT)
(843) 537-3221
Entity
Organization
Contact information
Practice address
107 WEST BLVD, CHESTERFIELD, SC 29709-1528
(843) 623-2999
(843) 623-3615
Mailing address
PO BOX 527, CHESTERFIELD, SC 29709-0527
(843) 623-2999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10498
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920550002
MEDICARE PTAN
SC
01
—
4229084
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/13/2009
Last updated
02/15/2021
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