Organization
BEDB PHARMACIES LLC
Active
Other names
oakland terrace apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
STU WHITEMAN (RX MGR)
(954) 485-1099
Entity
Organization
Contact information
Practice address
2629 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1355
(954) 485-1099
(954) 832-9143
Mailing address
2629 WEST OAKLAND, PARK BLVD, OAKLAND PARK, FL 33311
(954) 485-1099
(954) 832-9143
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH25072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5703031
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/13/2010
Last updated
12/13/2010
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