Organization
BRIDGEPORT PHARMACY LLC
Active
Other names
Bridgeport Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMANA MADHUSUDAN PUDIPEDDI (OWNER)
(203) 367-9000
Entity
Organization
Contact information
Practice address
978 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 367-9000
Mailing address
978 E MAIN ST, BRIDGEPORT, CT 06608-1913
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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