Organization
BEDARD PHARMACY, INC.
Active
Other names
Bedard Direct
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NADEAU (DIRECTOR OF PHARMACY)
(207) 786-0138
Entity
Organization
Contact information
Practice address
5 HORTON ST, LEWISTON, ME 04240-6828
(207) 440-2200
(207) 786-0763
Mailing address
359 MINOT AVE, AUBURN, ME 04210-4329
(207) 440-2200
(207) 786-0763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CPC50001541
ME
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154591
PK
—
Enumeration date
10/20/2015
Last updated
06/07/2017
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