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Contact Information

BEDFORD ROAD PHARMACY INC
11020 NEW GEORGES CREEK RD SW
FROSTBURG, MD21532-1448
 Phone: 301-689-9961
 Fax: 301-689-6028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BEDFORD ROAD PHARMACY INC

NPI Number 1649352436
LBN Legal business name BEDFORD ROAD PHARMACY INC
Authorized official CHAD CORWELL - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 05/21/2026 - About 2 weeks ago
Identifiers
MD License # P04502
MD Medicaid 011398100
Other 2033964 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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