Bridgeport Family Pharmacy
LBN: Willo Group
Bridgeport Family Pharmacy is an health care organization with primary practice located at 460 E. Main Street , Bridgeport WV 26330. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Willo Group can be contacted via phone (304) 848-9500, or through Spatafore, Lori R via phone (304) 848-9500.
Contact Information
Primary practice address
460 E. Main Street
Bridgeport WV 26330
Phone: (304) 848-9500
Fax: (304) 848-9503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552461 | West Virginia |
Profile Details
| NPI number | 1396176756 |
|---|---|
| LBN Legal business name | Willo Group |
| DBA Doing business as | Bridgeport Family Pharmacy |
| Authorized official | Spatafore, Lori R RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 10th, 2013 |
| Last updated | Apr 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396176756 | NPPES |
| Other | 2143725 | PK | |
| MEDICAID | 3910001300 | PK |
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