Healthcare Provider Details

I. General information

NPI: 1366457996
Provider Name (Legal Business Name): BEDFORD DRUG CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/19/2025
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 MAIN ST
BEDFORD IA
50833-1321
US

IV. Provider business mailing address

PO BOX 66
BEDFORD IA
50833-0066
US

V. Phone/Fax

Practice location:
  • Phone: 712-523-2385
  • Fax: 712-523-2433
Mailing address:
  • Phone: 712-523-2385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number408
License Number StateIA

VIII. Authorized Official

Name: MICHAEL SCHWEITZER
Title or Position: CO OWNER
Credential: RPH
Phone: 712-523-2365