| NPI | 1275822421 |
|---|---|
| Doing Business As | GOOD LIFE PHARMACY & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MIRVAT KADDOUR Owner 973-782-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00714700) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2013-12-30 |