Provider Demographics
NPI:1932757903
Name:BEST, CHARLES FRANK
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:FRANK
Last Name:BEST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1291
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-8291
Mailing Address - Country:US
Mailing Address - Phone:817-946-0359
Mailing Address - Fax:
Practice Address - Street 1:401 S JIM WRIGHT FWY STE 102
Practice Address - Street 2:
Practice Address - City:WHITE SETTLEMENT
Practice Address - State:TX
Practice Address - Zip Code:76108-2681
Practice Address - Country:US
Practice Address - Phone:866-361-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist