Organization
HEALTHY FOR LIFE LLC
Active
Other names
Smile Pharmacy and Surgical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA PATEL (MANAGER)
(732) 986-6694
Entity
Organization
Contact information
Practice address
1110 HAMILTON BLVD, SOUTH PLAINFIELD, NJ 07080-2000
(908) 756-3232
(908) 756-3111
Mailing address
1110 HAMILTON BLVD, UNIT 1A, SOUTH PLAINFIELD, NJ 07080-2000
(908) 756-3232
(908) 756-3111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00716200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131292
PK
—
Enumeration date
11/22/2011
Last updated
01/18/2017
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