Provider Demographics
NPI:1427127372
Name:BEST CARE PHARMACY OF MARYLAND INC
Entity type:Organization
Organization Name:BEST CARE PHARMACY OF MARYLAND INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-966-8600
Mailing Address - Street 1:3812 NORTHAMPTON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2949
Mailing Address - Country:US
Mailing Address - Phone:202-966-8600
Mailing Address - Fax:202-244-3199
Practice Address - Street 1:3812 NORTHAMPTON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2949
Practice Address - Country:US
Practice Address - Phone:202-966-8600
Practice Address - Fax:202-244-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
DCRX92002113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC900105100Medicaid
2004604OtherPK