Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VIDALIA PHARMACY INC
Active
Organization
VIDALIA PHARMACY INC
Active
Other names
VIDALIA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER BEDINGFIELD (OWNER)
(912) 537-4134
Entity
Organization
Contact information
Practice address
209 JACKSON ST, VIDALIA, GA 30474-4713
(912) 537-4134
(912) 537-4169
Mailing address
209 JACKSON ST, VIDALIA, GA 30474-4713
(912) 537-4134
(912) 537-4169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
005032
GA
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Enumeration date
06/12/2006
Last updated
11/23/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers