BRIDGE HEALTHCARE PHARMACY LLC NPI 1750012365

NPI Information

NPI: 1750012365
Provider Name: BRIDGE HEALTHCARE PHARMACY LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
658 E MAIN ST
CENTREVILLE, MI
ZIP 49032
Phone: (269) 467-3510
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BRIDGE HEALTHCARE PHARMACY LLC is a long term care pharmacy pharmacy in Centreville, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BRIDGE HEALTHCARE PHARMACY LLC NPI is 1750012365. The provider is registered as an organization entity type.

The provider's business location address is:

658 E MAIN ST
CENTREVILLE, MI
ZIP 49032-627
Phone: (269) 467-3510

The provider's authorized official is Michael Dabaja .
The authorized official title is Vice President and has the following contact phone number (269) 553-5000.

The enumeration date for this NPI number is 6/23/2022 and was last updated on 6/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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