Bradford Drug Company

LBN: Bradford Drugstore, Inc.
Bradford Drug Company is an health care organization with primary practice located at 500 N Main St , Cedartown GA 30125-2302. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bradford Drugstore, Inc. can be contacted via phone (770) 748-3100, or through Brewster, William via phone (770) 748-3100.

Contact Information

Primary practice address
500 N Main St Cedartown GA 30125-2302
Phone: (770) 748-3100
Fax: (770) 748-0379
Website:
Map and Directions
Authorized official contact:
Name: Brewster, William RPH
Phone: (770) 748-3100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE004748 Georgia

Profile Details

NPI number 1407945058
LBN Legal business name Bradford Drugstore, Inc.
DBA Doing business as Bradford Drug Company
Authorized official Brewster, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407945058 NPPES
Other 2012100 PK

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