Organization
GOOD TIME PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIYA SHOVKUN (SUPERVISOR)
(201) 222-6655
Entity
Organization
Contact information
Practice address
2801 KENNEDY BLVD, STE 10, JERSEY CITY, NJ 07306
(201) 222-6655
(201) 222-6645
Mailing address
2801 KENNEDY BLVD, STE 10, JERSEY CITY, NJ 07306-5449
(201) 222-6655
(201) 222-6645
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00707100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151935
PK
—
Enumeration date
09/27/2010
Last updated
06/14/2018
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