# GOOD LIFE PHARMACY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Life Pharmacy & wellness center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275822421
- **Authorized official:** MIRVAT KADDOUR (OWNER)
- **Authorized official phone:** (973) 782-6868

## Contact information

- **Practice address:** 953 MAIN ST, PATERSON, NJ 07503-2350
- **Practice address phone:** (973) 782-6868
- **Practice address fax:** (973) 782-6870
- **Mailing address:** 7900 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4120
- **Mailing address phone:** (201) 654-1862
- **Mailing address fax:** (201) 751-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00714700 | NJ | Yes |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 12/30/2013