Organization
BIDWELL PHARMACY AND MEDICAL SUPPLY INC
Active
Other names
BIDWELL PHARMACY AND MEDICAL SUPPLY INC
Organization subpart
No
Provider details
NPI number
Authorized official
OKWUDILI AHILIGWO RPH (PHARMACIST)
(530) 891-0388
Entity
Organization
Contact information
Practice address
1200 MANGROVE AVE, STE A, CHICO, CA 95926-3558
(530) 891-0388
(530) 891-0324
Mailing address
1200 MANGROVE AVE, STE A, CHICO, CA 95926-3558
(530) 891-0388
(530) 891-0324
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
48804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255510376
—
CA
01
—
5628512
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2007
Last updated
03/15/2022
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