Bridgeport Pharmacy

LBN: Bridgeport Pharmacy Llc
Bridgeport Pharmacy is an health care organization with primary practice located at 978 E Main St , Bridgeport CT 06608-1913. 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 Pharmacy Llc can be contacted via phone (203) 367-9000, or through Appalaneni, Rajendra via phone (917) 568-9000.

Contact Information

Primary practice address
978 E Main St Bridgeport CT 06608-1913
Phone: (203) 367-9000
Fax: (203) 367-9004
Website:
Map and Directions
Authorized official contact:
Name: Appalaneni, Rajendra
Phone: (917) 568-9000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.0002115 Connecticut

Profile Details

NPI number 1588821789
LBN Legal business name Bridgeport Pharmacy Llc
DBA Doing business as Bridgeport Pharmacy
Authorized official Appalaneni, Rajendra
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated Oct 18th, 2021 - about 5 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 1588821789 NPPES
Other 2002934 PK

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