# GOOD TIME PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316256290
- **Authorized official:** NATALIYA SHOVKUN (SUPERVISOR)
- **Authorized official phone:** (201) 222-6655

## Contact information

- **Practice address:** 2801 KENNEDY BLVD, STE 10, JERSEY CITY, NJ 07306
- **Practice address phone:** (201) 222-6655
- **Practice address fax:** (201) 222-6645
- **Mailing address:** 2801 KENNEDY BLVD, STE 10, JERSEY CITY, NJ 07306-5449
- **Mailing address phone:** (201) 222-6655
- **Mailing address fax:** (201) 222-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00707100 | NJ | Yes |

## Other

- **Enumeration date:** 09/27/2010
- **Last updated:** 06/14/2018