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General NPI Number Information
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NPI Number | 1538164033
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Entity Type | Organization
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Legal Business Name | BEDWICK'S PHARMACY INC
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 452 HAZLE ST
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City | WILKES BARRE
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State | PA
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Zip | 18702-4627
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Country | US
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Telephone | 570-823-3818
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Fax | 570-825-6189
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Provider Business Mailing Address
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Address Line | 452 HAZLE ST
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City | WILKES BARRE
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State | PA
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Zip | 18702-4627
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Country | US
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Telephone | 570-823-3818
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Fax | 570-825-6189
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | GEORGE BEDWICK
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Credential |
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Telephone | 570-823-3818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP412380L
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License Number State | PA
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