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Contact Information

BRIDGE HEALTHCARE PHARMACY LLC
658 E. MAIN ST
SUITE 1
CENTREVILLE, MI49032
 Phone: 269-467-3510
 Fax: 269-467-3515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRIDGE HEALTHCARE PHARMACY LLC

NPI Number 1669901815
LBN Legal business name BRIDGE HEALTHCARE PHARMACY LLC
Authorized official MICHAEL DABAJA - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2017
Last updated 06/09/2017 - About 9 years ago
Identifiers n/a
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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