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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