| NPI | 1013322213 |
|---|---|
| Doing Business As | LIFE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHONARA AWAD Owner 732-485-3078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-6790) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2016-07-08 |