Provider Demographics
NPI:1740374057
Name:BEST VALUE PHARMACIES INC
Entity type:Organization
Organization Name:BEST VALUE PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
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:940-325-0734
Practice Address - Street 1:800 MEDICAL CENTER DR STE A
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3844
Practice Address - Country:US
Practice Address - Phone:940-627-5343
Practice Address - Fax:940-627-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX132893336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX470502Medicaid
2099914OtherPK