Healthcare Provider Details

I. General information

NPI: 1548253628
Provider Name (Legal Business Name): BEST CARE PHARMACY OF CREEDMOOR, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 NC HIGHWAY 56
CREEDMOOR NC
27522-8297
US

IV. Provider business mailing address

1614 NC HIGHWAY 56
CREEDMOOR NC
27522-8297
US

V. Phone/Fax

Practice location:
  • Phone: 919-529-0351
  • Fax: 919-529-0358
Mailing address:
  • Phone: 919-529-0351
  • Fax: 919-529-0358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number08460
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number08460
License Number StateNC

VIII. Authorized Official

Name: MR. GARY L BOWMAN
Title or Position: PHARMACIST/OWNER
Credential: R.PH.
Phone: 919-603-0101