Healthcare Provider Details

I. General information

NPI: 1720090111
Provider Name (Legal Business Name): BEST VALUE PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5932 LOVELL AVE
FT WORTH TX
76107-5030
US

IV. Provider business mailing address

106 SW 6TH AVE
MINERAL WELLS TX
76067-5129
US

V. Phone/Fax

Practice location:
  • Phone: 817-737-6655
  • Fax: 817-737-5018
Mailing address:
  • Phone: 940-325-0734
  • Fax: 940-328-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number13291
License Number StateTX

VIII. Authorized Official

Name: ROBERT STEVEN WADDY
Title or Position: VICE-PRESIDENT
Credential: RPH
Phone: 940-325-0734