Organization
BEST LIFE RX, LLC
Active
Other names
Clayton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S. YANCHICK MPH, DPH (OWNER/PHARMACIST)
(918) 569-4884
Entity
Organization
Contact information
Practice address
536 N LAWSON BLVD, CLAYTON, OK 74536
(918) 569-4884
(918) 569-4660
Mailing address
P.O. BOX 517, CLAYTON, OK 74536
(918) 569-4884
(918) 569-4660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
59-7649
OK
3336C0004X
Compounding Pharmacy
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244280A
—
OK
01
—
2075822
PK
—
Enumeration date
08/11/2006
Last updated
08/19/2024
Update your record
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