MEDICARE: BEST CARE PHARMACY 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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	SP0552313	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2122612	OTHER		PK

General Provider Information

NPI Number	:	1871690610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	4 GARTON PLZ
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-2129
Country	:	US
Telephone Number	:	304-269-3737
Fax Number	:	304-269-3770

Provider Business Practice Location Address
First Line	:	4 GARTON PLZ
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-2129
Country	:	US
Telephone Number	:	304-269-3737
Fax Number	:	304-269-3770

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MATTHEW GENIN
Credential	:
Telephone Number	:	304-269-3737

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/10/2014

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Directions to “BEST CARE PHARMACY INC ” Practice Location

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