Organization
BEDFORD ROAD PHARMACY, INC
Active
Other names
The Medicine Shoppe of Fort Ashby
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALCH RPH (PRESIDENT)
(301) 723-2405
Entity
Organization
Contact information
Practice address
10010 FRANKFORT HIGHWAY, FORT ASHBY, WV 26719
(123) 456-7890
Mailing address
3 COMMERCE DR, CUMBERLAND, MD 21502-1058
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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