Organization
BRIDGE HEALTHCARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DABAJA PHARMD (VICE PRESIDENT)
(269) 553-5000
Entity
Organization
Contact information
Practice address
658 E MAIN ST, CENTREVILLE, MI 49032-9627
(269) 467-3510
Mailing address
PO BOX 22, NAZARETH, MI 49074-0022
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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