Provider Demographics
NPI:1902095433
Name:BESTCARE PHARMACY INC
Entity Type:Organization
Organization Name:BESTCARE PHARMACY INC
Other - Org Name:BESTCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBINNAKWELU
Authorized Official - Suffix:
Authorized Official - Credentials:PHRMD
Authorized Official - Phone:908-884-4027
Mailing Address - Street 1:504 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2021
Mailing Address - Country:US
Mailing Address - Phone:973-596-0060
Mailing Address - Fax:973-596-0032
Practice Address - Street 1:504 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2021
Practice Address - Country:US
Practice Address - Phone:973-596-0060
Practice Address - Fax:973-596-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS006753003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2056185OtherPK