Healthcare Provider Details
I. General information
NPI: 1386879658
Provider Name (Legal Business Name): BEST PHARMACY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2009
Last Update Date: 12/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35400 BOB HOPE DR SUITE 207
RANCHO MIRAGE CA
92270-1772
US
IV. Provider business mailing address
511 AMIGOS DR STE A
REDLANDS CA
92373-6283
US
V. Phone/Fax
- Phone: 760-328-2115
- Fax: 760-202-1333
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 49961 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PRASAD
REDDY
Title or Position: PRESIDENT
Credential:
Phone: 909-793-8205