Provider Demographics
NPI:1841202249
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: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 1:6020A HARRIS PKWY
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4102
Practice Address - Country:US
Practice Address - Phone:817-738-0722
Practice Address - Fax:817-738-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336C0004X
TX135723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2103621OtherPK
TX470497Medicaid
TX470497Medicaid