Provider Demographics
NPI:1700942802
Name:BETTER HEALTH, INC.
Entity Type:Organization
Organization Name:BETTER HEALTH, INC.
Other - Org Name:VALLEY DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRIMM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:712-642-2747
Mailing Address - Street 1:318 E ERIE ST
Mailing Address - Street 2:
Mailing Address - City:MISSOURI VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51555-1619
Mailing Address - Country:US
Mailing Address - Phone:712-642-2747
Mailing Address - Fax:712-642-4627
Practice Address - Street 1:318 E ERIE ST
Practice Address - Street 2:
Practice Address - City:MISSOURI VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51555-1619
Practice Address - Country:US
Practice Address - Phone:712-642-2747
Practice Address - Fax:712-642-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-31
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IB1239OtherMEDICARE PTAN # (ROSTER BILLER)
IA0442749Medicaid