# QKKP

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

## Provider details

- **NPI number:** 1841728003
- **Authorized official:** KIRTAN PATEL (MEMBER)
- **Authorized official phone:** (724) 971-7867

## Contact information

- **Practice address:** 6101 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3441
- **Practice address phone:** (201) 854-0800
- **Mailing address:** 6101 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00755700 | NJ | Yes |

## Other

- **Enumeration date:** 05/31/2017
- **Last updated:** 09/11/2018