Provider Demographics
NPI:1508901133
Name:BESTCARE PHARMACY INC
Entity Type:Organization
Organization Name:BESTCARE PHARMACY INC
Other - Org Name:BESTCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-670-7979
Mailing Address - Street 1:5317 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1231
Mailing Address - Country:US
Mailing Address - Phone:714-670-7979
Mailing Address - Fax:714-670-2929
Practice Address - Street 1:5317 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-1231
Practice Address - Country:US
Practice Address - Phone:714-670-7979
Practice Address - Fax:714-670-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 333600000X
CAPHY451353336C0003X, 3336C0003X
CAPHA453633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY451350Medicaid
1990158OtherPK
1990158OtherPK
CAPHY45135Medicaid
0501177OtherOTHER ID NUMBER COMMERCIAL NUMBER