Organization
HEALTHY LIFE PHARMACY CORP
Active
Other names
BAYONNE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF ASHAMALLA (PHARMACIST AND OWNER)
(201) 339-1200
Entity
Organization
Contact information
Practice address
651 BROADWAY, BAYONNE, NJ 07002-4710
(201) 339-1200
(201) 339-1144
Mailing address
651 BROADWAY, BAYONNE, NJ 07002-4710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00618700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144968
OTHER ID NUMBER
—
05
—
9045601
—
NJ
Enumeration date
02/17/2007
Last updated
05/21/2021
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