Provider Demographics
NPI:1356657035
Name:BESTAID PHARMACY AND MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:BESTAID PHARMACY AND MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/ONWER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:972-224-1333
Mailing Address - Street 1:3225 W PLEASANT RUN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1068
Mailing Address - Country:US
Mailing Address - Phone:972-224-1333
Mailing Address - Fax:972-224-1332
Practice Address - Street 1:1600 N BLUEGROVE RD APT 10106
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-4103
Practice Address - Country:US
Practice Address - Phone:469-248-2886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BESTAID PHARMACY AND MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-19
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27072OtherTX BOARD OF PHARMACY