Healthcare Provider Details
I. General information
NPI: 1326104696
Provider Name (Legal Business Name): BEST VALUE PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2006
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
604 N PATRICK ST
DUBLIN TX
76446-1122
US
IV. Provider business mailing address
604 N PATRICK ST
DUBLIN TX
76446-1122
US
V. Phone/Fax
- Phone: 254-445-3679
- Fax:
- Phone: 254-445-3679
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HENRY
VALLIERE
Title or Position: CONTROLLER
Credential:
Phone: 817-287-8125