Organization
QKKP
Active
Other names
Live Smart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIRTAN PATEL (MEMBER)
(724) 971-7867
Entity
Organization
Contact information
Practice address
6101 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3441
(201) 854-0800
Mailing address
6101 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3441
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00755700
NJ
Other
Enumeration date
05/31/2017
Last updated
09/11/2018
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