Provider Demographics
NPI:1487089587
Name:BESTCARE PHARMACY, INC.
Entity type:Organization
Organization Name:BESTCARE PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOLAWOLE
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:ADEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-383-0300
Mailing Address - Street 1:1133 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2005
Mailing Address - Country:US
Mailing Address - Phone:410-383-0300
Mailing Address - Fax:410-383-0302
Practice Address - Street 1:600 REISTERSTOWN RD STE 210
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-5105
Practice Address - Country:US
Practice Address - Phone:410-415-6505
Practice Address - Fax:410-415-6506
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BESTCARE PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-08
Last Update Date:2013-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty