Medwood Pharmacy

LBN: Bridgeport Pharmacy Inc
Medwood Pharmacy is an health care organization with primary practice located at 200 Route 98 W St Ste 105A, Nutter Fort WV 26301-4385. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bridgeport Pharmacy Inc can be contacted via phone (304) 624-0974, or through Mossallati, Saad via phone (304) 623-5711.

Contact Information

Primary practice address
200 Route 98 W St Ste 105A Nutter Fort WV 26301-4385
Phone: (304) 624-0974
Fax: (304) 624-0979
Website:
Map and Directions
Authorized official contact:
Name: Mossallati, Saad
Phone: (304) 623-5711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552382 West Virginia

Profile Details

NPI number 1063667947
LBN Legal business name Bridgeport Pharmacy Inc
DBA Doing business as Medwood Pharmacy
Authorized official Mossallati, Saad
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2008
Last updated Mar 17th, 2014 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063667947 NPPES
Other 2118653 PK

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