Healthcare Provider Details

I. General information

NPI: 1700942802
Provider Name (Legal Business Name): BETTER HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2006
Last Update Date: 01/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 E ERIE ST
MISSOURI VALLEY IA
51555-1619
US

IV. Provider business mailing address

318 E ERIE ST
MISSOURI VALLEY IA
51555-1619
US

V. Phone/Fax

Practice location:
  • Phone: 712-642-2747
  • Fax: 712-642-4627
Mailing address:
  • Phone: 712-642-2747
  • Fax: 712-642-4627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LINDA LEE GRIMM
Title or Position: OWNER-PHARMACIST IN CHARGE
Credential: R.PH.
Phone: 712-642-2747