Organization
BEDEL'S INC
Active
Other names
BEDEL'S DRIVE IN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY A MACH RPH (STAFF PHARMACIST)
(712) 732-4819
Entity
Organization
Contact information
Practice address
409 W 5TH ST, STORM LAKE, IA 50588-1725
(712) 732-4819
(712) 732-2627
Mailing address
409 W 5TH ST, STORM LAKE, IA 50588-1725
(712) 732-4819
(712) 732-2627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29
IA
3336L0003X
Long Term Care Pharmacy
29
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067496
—
IA
Enumeration date
08/30/2006
Last updated
07/21/2022
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