Organization · Type 2 NPI

Willo Group

Community/Retail Pharmacy · Bridgeport, WV

NPI number 1396176756 Active

Practice location

460 E. Main Street
Bridgeport, WV 26330

Fax (304) 848-9503

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	SP0552461 (WV)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1396176756
Entity type: Organization (Type 2)
Issued: Dec 10, 2013
Last updated: Apr 30, 2021
Status: Active

Other names

<unavail>
Bridgeport Family Pharmacy · doing business as
Bridgeport Family Pharmacy · doing business as

Authorized official

Mrs. Lori R Spatafore, RPH
Owner/member
(304) 848-9500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396176756

Willo Group's National Provider Identifier is 1396176756, issued on Dec 10, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bridgeport, WV. The record was last updated on Apr 30, 2021.