Provider Demographics
NPI:1740631423
Name:BEST LIFE RX, LLC
Entity type:Organization
Organization Name:BEST LIFE RX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUDD
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:405-570-9496
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:OK
Mailing Address - Zip Code:74536-0517
Mailing Address - Country:US
Mailing Address - Phone:918-569-4884
Mailing Address - Fax:918-569-4660
Practice Address - Street 1:536 LAWSON BLVD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:OK
Practice Address - Zip Code:74536-0517
Practice Address - Country:US
Practice Address - Phone:918-569-4884
Practice Address - Fax:918-569-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7553870001Medicare NSC