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NPI Code Detail

MEDICARE: BRIDGETT WINBORN RPH

MEDICARE: BRIDGETT WINBORN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03129801OH

General Provider Information

NPI Number : 1548885437
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGETT WINBORN RPH
Provider Business Mailing Address
First Line : 1712 BRAINARD RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-3041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21800 LIBBY RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2947
Country : US
Telephone Number : 216-662-7470
Fax Number : 216-662-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2020
Last Update Date : 09/01/2022

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Directions to “ BRIDGETT WINBORN RPH” Practice Location

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