# HEALTH SMART PHARMACY & CONVENIENCE STORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Smart Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578050357
- **Authorized official:** VEA CAYABA-WONG (OWNER)
- **Authorized official phone:** (201) 993-3325

## Contact information

- **Practice address:** 2709 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-5763
- **Practice address phone:** (201) 360-3784
- **Practice address fax:** (201) 360-3747
- **Mailing address:** 2709 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-5763
- **Mailing address phone:** (201) 360-3784
- **Mailing address fax:** (201) 360-3747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00762600 | NJ | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 07/19/2018