Provider Demographics
NPI:1083606339
Name:PROTUS, BRIDGET MCCRATE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:MCCRATE
Last Name:PROTUS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 MONTMORENCY DR S
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8339
Mailing Address - Country:US
Mailing Address - Phone:614-718-0600
Mailing Address - Fax:
Practice Address - Street 1:555 METRO PL N
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1306
Practice Address - Country:US
Practice Address - Phone:614-718-0600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-26960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist