Organization
GOODLIFE PHARMACY INC
Active
Other names
Goodlife Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO GIL (PRESIDENT)
(561) 999-8855
Entity
Organization
Contact information
Practice address
8903 GLADES RD STE G13, BOCA RATON, FL 33434-4091
(561) 999-8855
(888) 688-6310
Mailing address
8903 GLADES RD STE G13, BOCA RATON, FL 33434-4091
(561) 999-8855
(888) 688-6310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
NP000002
PA
3336C0003X
Community/Retail Pharmacy
Primary
PH24484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091833000
—
FL
01
—
2123482
PK
—
Enumeration date
03/02/2010
Last updated
01/18/2017
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