| NPI | 1265847503 |
|---|---|
| Doing Business As | BRIDGEPORT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD SALMAN Owner/ Pharmacy Manager 304-203-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552462) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2016-06-16 |