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General NPI Number Information
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NPI Number | 1023761582
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Entity Type | Organization
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Legal Business Name | BETTER LIFE PHARMACY P.C.
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 410 W EDMOND RD
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City | EDMOND
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State | OK
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Zip | 73003-5602
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Country | US
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Telephone | 405-341-1504
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Fax | 405-341-1506
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Provider Business Mailing Address
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Address Line | 410 W EDMOND RD
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City | EDMOND
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State | OK
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Zip | 73003-5602
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Country | US
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Telephone | 405-341-1504
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY SIMONS
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Credential | RPH
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Telephone | 405-742-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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