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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	13572	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2103621	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841202249
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	:	6020A HARRIS PKWY
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-4102
Country	:	US
Telephone Number	:	817-738-0722
Fax Number	:	817-738-5662

Authorized Official
Title or Position	:	VP
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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