Organization
BESTYET PHARMACY LLC
Active
Other names
BESTYET HEALTHMART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BLAKE WILSON PHARMD (OWNER)
(405) 741-1200
Entity
Organization
Contact information
Practice address
19671 NE 23RD ST, HARRAH, OK 73045-9305
(405) 454-6261
(405) 454-6262
Mailing address
PO BOX 98, HARRAH, OK 73045-0098
(405) 454-6261
(405) 454-6261
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-7754
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239820A
—
OK
05
—
100239820B
—
OK
01
—
2074157
PK
—
Enumeration date
08/09/2005
Last updated
11/06/2021
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