Provider Demographics
NPI:1821378829
Name:A BETTER MEDICAL SUPPLY STORE, L.L.C.
Entity Type:Organization
Organization Name:A BETTER MEDICAL SUPPLY STORE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-609-9838
Mailing Address - Street 1:18101 CALLE WAY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012
Mailing Address - Country:US
Mailing Address - Phone:405-340-1998
Mailing Address - Fax:405-340-1998
Practice Address - Street 1:18101 CALLE WAY
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-0658
Practice Address - Country:US
Practice Address - Phone:405-340-1998
Practice Address - Fax:405-340-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies