Provider Demographics
NPI:1942224928
Name:BRIDGES, JONATHAN CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:CHRISTOPHER
Last Name:BRIDGES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MASON DR
Mailing Address - Street 2:
Mailing Address - City:CHERAW
Mailing Address - State:SC
Mailing Address - Zip Code:29520-1509
Mailing Address - Country:US
Mailing Address - Phone:843-537-4337
Mailing Address - Fax:843-537-9550
Practice Address - Street 1:700 CHESTERFIELD HWY
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520-7001
Practice Address - Country:US
Practice Address - Phone:843-537-3221
Practice Address - Fax:843-537-9550
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist