Organization
GOOD LIFE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL OBENG (PRESIDENT)
(718) 618-7099
Entity
Organization
Contact information
Practice address
2366 GRAND CONCOURSE, BRONX, NY 10458-6908
(718) 618-7099
Mailing address
2366 GRAND CONCOURSE, BRONX, NY 10458-6908
(718) 618-7099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
09/18/2014
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