| NPI | 1588821789 |
|---|---|
| Doing Business As | BRIDGEPORT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAJENDRA APPALANENI President 917-568-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY.0002115) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-10-18 |