Bridge City Family Pharmacy

LBN: Bridge City Pharmacy Llc
Bridge City Family Pharmacy is an health care organization with primary practice located at 1910 Texas Ave , Bridge City TX 77611-2834. 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. Bridge City Pharmacy Llc can be contacted via phone (409) 735-5555, or through Haney, Trey via phone (409) 769-2406.

Contact Information

Primary practice address
1910 Texas Ave Bridge City TX 77611-2834
Fax: (409) 735-7018
Website:
Authorized official contact:
Name: Haney, Trey

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 25457 Texas

Profile Details

NPI number 1982821088
LBN Legal business name Bridge City Pharmacy Llc
DBA Doing business as Bridge City Family Pharmacy
Authorized official Haney, Trey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 9th, 2021 - about 3 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 1982821088 NPPES
Other 2100890 PK
MEDICAID 149070 PK

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