Healthcare Provider Details

I. General information

NPI: 1871690610
Provider Name (Legal Business Name): BEST CARE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 GARTON PLZ
WESTON WV
26452-2129
US

IV. Provider business mailing address

4 GARTON PLZ
WESTON WV
26452-2129
US

V. Phone/Fax

Practice location:
  • Phone: 304-269-3737
  • Fax: 304-269-3770
Mailing address:
  • Phone: 304-269-3737
  • Fax: 304-269-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberSP0552313
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW GENIN
Title or Position: PRESIDENT
Credential:
Phone: 304-269-3737