Provider Demographics
NPI:1326150293
Name:BEDGOOD, CHARLES H (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:H
Last Name:BEDGOOD
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HILLABEE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4119
Mailing Address - Country:US
Mailing Address - Phone:334-277-5116
Mailing Address - Fax:334-284-6388
Practice Address - Street 1:4035 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-7308
Practice Address - Country:US
Practice Address - Phone:334-284-6511
Practice Address - Fax:334-284-6388
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0126715OtherNABP