Bridgeport Pharmacy, INC
NPI #1356308480 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1356308480
- Entity Type
- Organization
- Organization Name
- Bridgeport Pharmacy, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BRIDGEPORT PHARMACY INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- May 1, 2006
- Last Updated
- Dec 10, 2010
Practice Location
- Address
- 6226 DIXIE HWY
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722-9513
- Phone
- (989) 777-3286
Authorized Official
- Name
- MRS. KAREN MARIE BOETTCHER
- Title
- VICE PRESIDENT
- Phone
- (989) 777-3286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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