BRIDGEPORT PHARMACY INC
Suppliers at Medical Park Dr, Lake Ridge, WV

License number
West Virginia SP0552462
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MUHAMMAD SALMAN
Title: OWNER/ PHARMACY MANAGER
Phone: (304) 203-4927
Address
Address
527 Medical Park Dr STE 105, Lake Ridge, WV 26330
National Provider ID: 1265847503
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIDGEPORT PHARMACY INC

Lake Ridge, WV

Industry:
Retail Trade, Health and Personal Care Stores, Nonclassifiable Establishments
Registration:
May 22, 2013
Addresses:
Suite 10 SUITE 105, Bridgeport, WV 26330 (Physical)
512 Worthington Dr APT 6, Bridgeport, WV 26330 (Mailing)
Business type:
Corporation
Incorporators:
Muhammad Salman (Director, Director Of Pharmacy), 512 Worthington Dr APT 6, Bridgeport, WV 26330,Masood Farooqi (Incorporator), PO Box 250064, Plano, TX 75025

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