Organization
BEDFORD PHARMACY LLC
Active
Other names
LEROY PHARMACY IV
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PAGHDAL BS, PHARMD (PHARM D / PHARMACIST)
(718) 933-1154
Entity
Organization
Contact information
Practice address
387 BEDFORD PARK BLVD, BRONX, NY 10458-2422
(718) 933-1154
(718) 365-0202
Mailing address
387 BEDFORD PARK BLVD, BRONX, NY 10458-2422
(718) 933-1154
(718) 365-0202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02594829
—
NY
01
—
2060384
PK
—
Enumeration date
06/11/2006
Last updated
12/19/2018
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