Provider Demographics
NPI:1841607223
Name:BEDDINGFIELD DRUGS LLC
Entity Type:Organization
Organization Name:BEDDINGFIELD DRUGS LLC
Other - Org Name:BEDDINGFIELD DRUGS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIPUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-553-6224
Mailing Address - Street 1:95 SPRINGBROOK AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520
Mailing Address - Country:US
Mailing Address - Phone:919-553-6224
Mailing Address - Fax:919-553-7805
Practice Address - Street 1:95 SPRINGBROOK AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:919-553-6224
Practice Address - Fax:919-553-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC120833336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2148790OtherPK