Provider Demographics
NPI:1760817407
Name:BESTCARE PHARMACY
Entity Type:Organization
Organization Name:BESTCARE PHARMACY
Other - Org Name:BESTCARE PHARMACY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOLAWOLE
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:ADEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-383-0300
Mailing Address - Street 1:1133 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2005
Mailing Address - Country:US
Mailing Address - Phone:410-383-0300
Mailing Address - Fax:410-383-0302
Practice Address - Street 1:1133 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2005
Practice Address - Country:US
Practice Address - Phone:410-383-0300
Practice Address - Fax:410-383-0302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BESTCARE PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP061133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy