Family Pharmacy

LBN: Bridgeport Family Pharmacy
Family Pharmacy is an health care organization with primary practice located at 30809 1St Ave S Ste K , Federal Way WA 98003-4074. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bridgeport Family Pharmacy can be contacted via phone (253) 839-3100, or through Doud, Roibert via phone (253) 238-2230.

Contact Information

Primary practice address
30809 1St Ave S Ste K Federal Way WA 98003-4074
Phone: (253) 839-3100
Fax: (253) 941-4310
Website:
Map and Directions
Authorized official contact:
Name: Doud, Roibert
Phone: (253) 238-2230

Health care specialties

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

Profile Details

NPI number 1689616468
LBN Legal business name Bridgeport Family Pharmacy
DBA Doing business as Family Pharmacy
Authorized official Doud, Roibert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1689616468 NPPES
Other 4903832 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 6028328 OTHER ID NUMBER-COMMERCIAL NUMBER

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