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Individual

JERRELL STEPHEN BEDFORD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
756 S CHURCH ST, FOREST CITY, NC 28043-3941
(828) 245-0786
(828) 245-5509
Mailing address
756 S CHURCH ST, FOREST CITY, NC 28043-3941
(828) 245-0786
(828) 245-5509

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8382
NC
183500000X
Pharmacist
PH9255
SC
183500000X
Pharmacist
RPH019099
GA

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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