MEDICARE: BEST BUY PHARMACY OF PITTSFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194700203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST BUY PHARMACY OF PITTSFIELD

Provider Business Mailing Address
First Line	:	PO BOX 463
Second Line	:
City	:	PITTSFIELD
State	:	IL
Zip	:	62363-0463
Country	:	US
Telephone Number	:	217-285-5515
Fax Number	:	217-285-1326

Provider Business Practice Location Address
First Line	:	1095 W WASHINGTON ST
Second Line	:
City	:	PITTSFIELD
State	:	IL
Zip	:	62363-1654
Country	:	US
Telephone Number	:	217-285-5515
Fax Number	:	217-285-1326

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	ERICA DAWN THOMAS
Credential	:	PHARMACIST
Telephone Number	:	217-285-5515

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	08/22/2020

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Directions to “BEST BUY PHARMACY OF PITTSFIELD ” Practice Location

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