Organization
BEDFORD PHARMACY INC
Active
Other names
MIKES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PRILLMAN (PRES)
(434) 525-9444
Entity
Organization
Contact information
Practice address
12130 E LYNCHBURG SALEM TPKE, FOREST, VA 24551-3421
(434) 525-9444
(434) 525-9445
Mailing address
12130 E LYNCHBURG SALEM TPKE, FOREST, VA 24551-3421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201003776
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4836776
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8504024
—
VA
Enumeration date
09/30/2006
Last updated
09/11/2025
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