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NPI Code Detail

MEDICARE: BEST VALUE PHARMACIES INC

MEDICARE: BEST VALUE PHARMACIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy13291TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12104133OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720090111
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEST VALUE PHARMACIES INC
Provider Business Mailing Address
First Line : 106 SW 6TH AVE
Second Line :
City : MINERAL WELLS
State : TX
Zip : 76067-5129
Country : US
Telephone Number : 940-325-0734
Fax Number : 940-328-1991
Provider Business Practice Location Address
First Line : 5932 LOVELL AVE
Second Line :
City : FT WORTH
State : TX
Zip : 76107-5030
Country : US
Telephone Number : 817-737-6655
Fax Number : 817-737-5018
Authorized Official
Title or Position : VICE-PRESIDENT
Name : ROBERT STEVEN WADDY
Credential : RPH
Telephone Number : 940-325-0734
Provider Enumeration Date : 08/13/2006
Last Update Date : 12/16/2024

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Directions to “BEST VALUE PHARMACIES INC ” Practice Location

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