Provider Demographics
NPI:1093279044
Name:BETTERX LLC
Entity Type:Organization
Organization Name:BETTERX LLC
Other - Org Name:BETTERX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SELF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, DPH
Authorized Official - Phone:901-290-0428
Mailing Address - Street 1:14675 HIGHWAY 194
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-4133
Mailing Address - Country:US
Mailing Address - Phone:901-290-0428
Mailing Address - Fax:901-290-0723
Practice Address - Street 1:200 CHICKASAW RIDGE DR STE 25
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-6208
Practice Address - Country:US
Practice Address - Phone:901-290-0428
Practice Address - Fax:901-290-0723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ049233Medicaid