Provider Demographics
NPI:1396030516
Name:BRIDGER, MARGARET M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:BRIDGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4191 THE CIRCLE AT NORTH HILLS ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5712
Mailing Address - Country:US
Mailing Address - Phone:919-786-2534
Mailing Address - Fax:919-786-2534
Practice Address - Street 1:4191 THE CIRCLE AT NORTH HILLS ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5712
Practice Address - Country:US
Practice Address - Phone:919-786-2534
Practice Address - Fax:919-786-2534
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC183500000XOtherPHARMACY SERVICE PROVIDER