| NPI | 1700610623 |
|---|---|
| Doing Business As | BRIDGEPORT RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VILPESH K PATEL Owner 989-777-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |