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Organization
BEST VALUE CUSTOM MEDS
Active
Organization
BEST VALUE CUSTOM MEDS
Active
Other names
Best Value Custom Meds
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEVEN WADDY RPH (VICE-PRESIDENT)
(940) 325-0734
Entity
Organization
Contact information
Practice address
6020 B HARRIS PARKWAY, FORT WORTH, TX 76132
(817) 292-2338
(817) 361-1552
Mailing address
106 SW 6TH AVE, MINERAL WELLS, TX 76067-5129
(940) 325-0734
(940) 328-1991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
26251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550821
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/07/2009
Last updated
12/16/2024
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