Bridgeport Pharmacy Inc

NPI 1063667947 - Pharmacy - 3336C0003X

NPI Details
NPI 1063667947
Enumeration Date 11/19/2008
Last Updated 03/17/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SAAD SAAD
Position TREASURER
Phone (304) 624-0974
Fax (304) 624-0979
Practice Location
200 ROUTE 98 W ST
STE 105A
NUTTER FORT WV, 26301-4385, US
Phone (304) 624-0974
Fax (304) 624-0979
Business Location
200 ROUTE 98 W ST
STE 105A
NUTTER FORT WV, 26301-4385, US
Phone (304) 624-0974
Fax (304) 624-0979
Toxanomy
Taxonomy Code 3336C0003X
License State West Virginia
License Number SP0552382
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According to our database, Bridgeport Pharmacy Inc NPI is 1063667947, taxonomy code is 3336C0003X and license number is SP0552382, license state is located at West Virginia. Bridgeport Pharmacy Inc physically located at 200 Route 98 W St, Nutter Fort WV, 26301-4385. NPI Number 1033115704 has the healthcare provider type.

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1063667947 NPI number is provided on an as is basis without warranty of any kind. 1063667947 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgeport Pharmacy Inc are for informational purposes only.