<Unavail>

LBN: Bridgeport Allenmore Llc
<Unavail> is an health care organization with primary practice located at 1901 S Cedar St Ste 104, Tacoma WA 98405-2308. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bridgeport Allenmore Llc can be contacted via phone (253) 582-2293, or through Doud, Robert via phone (253) 238-2230.

Contact Information

Primary practice address
1901 S Cedar St Ste 104 Tacoma WA 98405-2308
Phone: (253) 582-2293
Fax: (253) 272-2294
Website:
Map and Directions
Authorized official contact:
Name: Doud, Robert
Phone: (253) 238-2230

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00057481 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295777597
LBN Legal business name Bridgeport Allenmore Llc
DBA Doing business as <Unavail>
Authorized official Doud, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295777597 NPPES
Washington MEDICAID 6014518
Washington Other 4912968

Popular Providers