Provider Demographics
NPI:1013001320
Name:BEST VALUE PHARMACIES INC
Entity Type:Organization
Organization Name:BEST VALUE PHARMACIES INC
Other - Org Name:BEST VALUE MOUNTAIN VALLEY 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:940-328-1991
Practice Address - Street 1:3521 SW WILSHIRE BLVD STE B
Practice Address - Street 2:
Practice Address - City:JOSHUA
Practice Address - State:TX
Practice Address - Zip Code:76058-6195
Practice Address - Country:US
Practice Address - Phone:817-484-3267
Practice Address - Fax:817-484-3628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST VALUE PHARMACIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX208803336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2096060OtherPK
TX470498Medicaid