Organization
BEDFORD ROAD PHARMACY INC
Active
Other names
PharmaCare of Frostburg, Medicine Shoppe 2030
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD CORWELL MBA (DIRECTOR OF OPERATIONS)
(301) 723-2423
Entity
Organization
Contact information
Practice address
10601 NEW GEORGES CREEK RD SW, FROSTBURG, MD 21532-1453
(301) 689-9961
(301) 689-6028
Mailing address
3 COMMERCE DR, CUMBERLAND, MD 21502-1058
(301) 777-1773
(301) 777-7109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04502
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011398100
—
MD
01
—
2033964
PK
—
Enumeration date
10/20/2006
Last updated
02/22/2017
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