Provider Demographics
NPI:1871647057
Name:BEST VALUE PHARMACIES INC
Entity Type:Organization
Organization Name:BEST VALUE PHARMACIES INC
Other - Org Name:BEST VALUE HICO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:WADDY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:940-325-0734
Mailing Address - Street 1:106 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-5129
Mailing Address - Country:US
Mailing Address - Phone:940-325-0734
Mailing Address - Fax:940-328-1995
Practice Address - Street 1:320 W 1ST AND WALNUT
Practice Address - Street 2:
Practice Address - City:HICO
Practice Address - State:TX
Practice Address - Zip Code:76457
Practice Address - Country:US
Practice Address - Phone:254-796-4271
Practice Address - Fax:254-796-4462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST VALUE PHARMACIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-23
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX286583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142267OtherPK
TX470832Medicaid