Healthcare Provider Details

I. General information

NPI: 1376848622
Provider Name (Legal Business Name): BEST CHOICE PHARMACY & MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7148 FOOTHILL BLVD
TUJUNGA CA
91042-2717
US

IV. Provider business mailing address

7148 FOOTHILL BLVD
TUJUNGA CA
91042-2717
US

V. Phone/Fax

Practice location:
  • Phone: 818-353-5384
  • Fax: 818-353-0653
Mailing address:
  • Phone: 818-353-5384
  • Fax: 818-353-0653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number53359
License Number StateCA

VIII. Authorized Official

Name: ELIZAVETA MILSHTEYN
Title or Position: OWNER
Credential:
Phone: 818-353-5384