NPI | 1023836046 |
---|---|
Doing Business As | GOOD LIFE PHARMACY |
Entity Type | Organization |
Authorized Contact | ENGY BOULOS Pharmacist 347-459-0183 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |