Provider Demographics
NPI:1871690610
Name:BEST CARE PHARMACY INC
Entity Type:Organization
Organization Name:BEST CARE PHARMACY INC
Other - Org Name:BEST CARE PHARMACY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GENIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-269-3737
Mailing Address - Street 1:4 GARTON PLZ
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WV
Mailing Address - Zip Code:26452-2129
Mailing Address - Country:US
Mailing Address - Phone:304-269-3737
Mailing Address - Fax:304-269-3770
Practice Address - Street 1:4 GARTON PLZ
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WV
Practice Address - Zip Code:26452-2129
Practice Address - Country:US
Practice Address - Phone:304-269-3737
Practice Address - Fax:304-269-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP0552313333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810001887Medicaid
2122612OtherPK
5054022OtherNCPDP PROVIDER IDENTIFICATION NUMBER