Organization
GOODLIFE PHARMACY INC
Active
Organization
GOODLIFE PHARMACY INC
Active
Other names
GOODLIFE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO GIL (PRESIDENT)
(561) 999-8855
Entity
Organization
Contact information
Practice address
104 NE 2ND ST, BOCA RATON, FL 33432-3908
(561) 999-8855
(561) 948-0860
Mailing address
8903 GLADES RD, STE G13, BOCA RATON, FL 33434-4074
(561) 999-8855
(561) 999-8855
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2007
Last updated
05/14/2012
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