Healthcare Provider Details

I. General information

NPI: 1720213085
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: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 AMIGOS DR STE B
REDLANDS CA
92373-6283
US

IV. Provider business mailing address

511 AMIGOS DR STE A
REDLANDS CA
92373-6283
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-8259
  • Fax: 909-793-3838
Mailing address:
  • Phone: 909-793-8205
  • Fax: 909-793-7485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number49958
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PRASAD REDDY
Title or Position: PRESIDENT
Credential:
Phone: 909-793-8205