Provider Demographics
NPI:1497238505
Name:BEDWICK, MEAGAN CATHERINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:CATHERINE
Last Name:BEDWICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-1437
Mailing Address - Country:US
Mailing Address - Phone:570-332-4157
Mailing Address - Fax:
Practice Address - Street 1:10 S MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-1199
Practice Address - Country:US
Practice Address - Phone:570-474-5859
Practice Address - Fax:570-474-9594
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213420183500000X
PARP448636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist