# HEALTHY LIFE PHARMACY CORP

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

## Provider details

- **NPI number:** 1255475711
- **Authorized official:** ASHRAF ASHAMALLA (PHARMACIST AND OWNER)
- **Authorized official phone:** (201) 339-1200

## Contact information

- **Practice address:** 651 BROADWAY, BAYONNE, NJ 07002-4710
- **Practice address phone:** (201) 339-1200
- **Practice address fax:** (201) 339-1144
- **Mailing address:** 651 BROADWAY, BAYONNE, NJ 07002-4710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00618700 | NJ | Yes |

## Other

- **Enumeration date:** 02/17/2007
- **Last updated:** 05/21/2021