# HEALTHY LIVING AT 140 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHY LIVING @ RANDOLPH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073341269
- **Authorized official:** AMIRA MEKHAIL (PRESIDENT)
- **Authorized official phone:** (973) 620-9544

## Contact information

- **Practice address:** 140 ROUTE 10 STE 9, RANDOLPH, NJ 07869-1542
- **Practice address phone:** (973) 620-9544
- **Practice address fax:** (973) 620-9545
- **Mailing address:** 140 ROUTE 10 STE 9, RANDOLPH, NJ 07869-1542
- **Mailing address phone:** (973) 620-9544
- **Mailing address fax:** (973) 620-9545

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 07/30/2024