Provider Demographics
NPI:1679826077
Name:BEST LIFE PHARMACY AND RESTAURANT, INC
Entity Type:Organization
Organization Name:BEST LIFE PHARMACY AND RESTAURANT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SYLVAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:504-621-6048
Mailing Address - Street 1:9 CAVENDISH CT
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-7417
Mailing Address - Country:US
Mailing Address - Phone:504-621-6048
Mailing Address - Fax:866-231-5158
Practice Address - Street 1:2657 TULANE AVE.
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119
Practice Address - Country:US
Practice Address - Phone:504-621-6048
Practice Address - Fax:866-231-5158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA66173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy