Provider Demographics
NPI:1871124214
Name:BETTER HEALTH PHARMACY, LLC
Entity type:Organization
Organization Name:BETTER HEALTH PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THUY NGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-703-1854
Mailing Address - Street 1:8615 S HULEN ST STE 115
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2762
Mailing Address - Country:US
Mailing Address - Phone:682-708-3499
Mailing Address - Fax:682-708-3477
Practice Address - Street 1:8615 S HULEN ST STE 115
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2762
Practice Address - Country:US
Practice Address - Phone:682-708-3499
Practice Address - Fax:682-708-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152041Medicaid