# GOODLIFE RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GARCIA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023660875
- **Authorized official:** MRS. THUY MIEN LE (MANAGING MEMBER)
- **Authorized official phone:** (408) 294-3219

## Contact information

- **Practice address:** 25 N 14TH STREET, STE 110, SAN JOSE, CA 95112-6208
- **Practice address phone:** (408) 294-3219
- **Practice address fax:** (408) 465-0832
- **Mailing address:** 25 N 14TH STREET, STE 110, SAN JOSE, CA 95112-6208
- **Mailing address phone:** (408) 294-3219
- **Mailing address fax:** (408) 465-0832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2019
- **Last updated:** 09/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 56-71424 | NCPDP | CA |
| 01 | — | PHY57971 | BOARD OF PHARMACY | CA |