Organization
BEDFORD MEDICAL SUPPLY INC
Active
Other names
Extra Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCKWUMA MADU RPH (PRESIDENT)
(718) 462-2273
Entity
Organization
Contact information
Practice address
2036 BEDFORD AVE, BROOKLYN, NY 11226-1905
(718) 462-2273
(718) 462-1400
Mailing address
2036 BEDFORD AVE, BROOKLYN, NY 11226
(718) 462-2273
(718) 462-1400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03934214
—
NY
01
—
2146793
PK
—
Enumeration date
06/26/2014
Last updated
09/19/2025
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