Provider Demographics
NPI:1326104696
Name:BEST VALUE PHARMACIES INC
Entity Type:Organization
Organization Name:BEST VALUE PHARMACIES INC
Other - Org Name:BEST VALUE DUBLIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-287-8125
Mailing Address - Street 1:604 N PATRICK ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:TX
Mailing Address - Zip Code:76446-1122
Mailing Address - Country:US
Mailing Address - Phone:254-445-3679
Mailing Address - Fax:
Practice Address - Street 1:604 N PATRICK ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:TX
Practice Address - Zip Code:76446-1122
Practice Address - Country:US
Practice Address - Phone:254-445-3679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336L0003X
TX206603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145023Medicaid
4598693OtherNCPDP PROVIDER IDENTIFICATION NUMBER