Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridgeport Pharmacy Inc

Organization Pharmacist · NPI 1114917242

Bridgeport Pharmacy Inc is a Pharmacist in Bridgeport, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6224 Dixie Hwy
Bridgeport, MI 48722-9513
Phone: (989) 777-2900
Fax: (989) 777-4649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302025343 (MI)

Record details

NPI number1114917242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Boettcher — Registered Pharmacist/In Charge · (989) 777-2900
NPI enumeratedOctober 28, 2005
Last updated in NPPESFebruary 29, 2008
Mailing address6224 Dixie Hwy, Bridgeport, MI 48722-9513

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