Organization
HEALTHY FOR LIFE LLC
Active
Other names
Smile Pharmacy and Surgical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHENDRA PATEL (MANAGER)
(732) 986-6694
Entity
Organization
Contact information
Practice address
1110 HAMILTON BLVD STE 1A, SOUTH PLAINFIELD, NJ 07080-2031
(908) 756-3232
(908) 756-3111
Mailing address
1110 HAMILTON BLVD STE 1A, SOUTH PLAINFIELD, NJ 07080-2031
(908) 756-3232
(908) 756-3111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RI02653200
NJ
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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