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Contact Information

BRIDGE STREET PHARMACY INC
817 N BRIDGE ST
ELKIN, NC28621
 Phone: 336-835-3131
 Fax: 336-835-2358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRIDGE STREET PHARMACY INC

NPI Number 1447209978
LBN Legal business name BRIDGE STREET PHARMACY INC
Authorized official RICHARD RIPLEY - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2006
Last updated 09/30/2015 - About 11 years ago
Identifiers
NC License # 07272
NC License # 7272
NC Medicaid 0865428
NC Medicaid 7701236
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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