Organization
BRIDGE CITY PHARMACY LLC
Active
Organization
BRIDGE CITY PHARMACY LLC
Active
Other names
Bridge City Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TREY HANEY (MANAGER)
(409) 769-2406
Entity
Organization
Contact information
Practice address
1910 TEXAS AVE, BRIDGE CITY, TX 77611-2834
(409) 735-5555
(409) 735-7018
Mailing address
1910 TEXAS AVE, BRIDGE CITY, TX 77611-2834
(409) 735-5555
(409) 735-7018
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149070
—
TX
01
—
2100890
PK
—
Enumeration date
04/19/2007
Last updated
09/09/2021
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