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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