Provider Demographics
NPI:1376889931
Name:BEST FIVE STAR PHARMACY LLC
Entity Type:Organization
Organization Name:BEST FIVE STAR PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FEREYDOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-343-5050
Mailing Address - Street 1:10308 ROOSEVELT AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2330
Mailing Address - Country:US
Mailing Address - Phone:718-641-0859
Mailing Address - Fax:718-228-8886
Practice Address - Street 1:10308 ROOSEVELT AVE FL 1
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2330
Practice Address - Country:US
Practice Address - Phone:718-641-0859
Practice Address - Fax:718-228-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies