Healthcare Provider Details
I. General information
NPI: 1134042914
Provider Name (Legal Business Name): BETTER HEALTH TOM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7617 NW 15TH AVE
MIAMI FL
33147-5737
US
IV. Provider business mailing address
7617 NW 15TH AVE
MIAMI FL
33147-5737
US
V. Phone/Fax
- Phone: 618-461-2895
- Fax:
- Phone: 618-461-2895
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEAN
STYGLES
Title or Position: MANAGER
Credential:
Phone: 618-461-2895