Organization
BETTER LIFE PHARMACY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS RPH (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
410 W EDMOND RD, EDMOND, OK 73003-5602
(405) 341-1504
(405) 341-1506
Mailing address
410 W EDMOND RD, EDMOND, OK 73003-5602
(405) 341-1504
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19137
OKLAHOMA STATE BOARD OF PHRAMACY
OK
Enumeration date
02/03/2022
Last updated
07/26/2023
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