# BEST VALUE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeshore Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427203967
- **Authorized official:** EDWARD VAHALEK (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (313) 483-3910

## Contact information

- **Practice address:** 7310 WOODWARD AVE FL 4, DETROIT, MI 48202-3165
- **Practice address phone:** (313) 483-3910
- **Practice address fax:** (313) 872-0680
- **Mailing address:** 7310 WOODWARD AVE FL 4, DETROIT, MI 48202-3165
- **Mailing address phone:** (313) 483-3910
- **Mailing address fax:** (313) 872-0680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 5301008983 | MI | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 11/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2118169 | PK | — |