# HEALTHY FOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Pharmacy and Surgical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235417924
- **Authorized official:** MR. MAHENDRA PATEL (MANAGER)
- **Authorized official phone:** (732) 986-6694

## Contact information

- **Practice address:** 1110 HAMILTON BLVD STE 1A, SOUTH PLAINFIELD, NJ 07080-2031
- **Practice address phone:** (908) 756-3232
- **Practice address fax:** (908) 756-3111
- **Mailing address:** 1110 HAMILTON BLVD STE 1A, SOUTH PLAINFIELD, NJ 07080-2031
- **Mailing address phone:** (908) 756-3232
- **Mailing address fax:** (908) 756-3111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RI02653200 | NJ | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 07/28/2011