| NPI | 1396176756 |
|---|---|
| Doing Business As | BRIDGEPORT FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LORI R SPATAFORE Owner/Member 304-848-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552461) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2021-04-30 |