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Goodlife Rx Llc
Community/Retail Pharmacy in San Jose, California
NPI 1205869674

Goodlife Rx Llc is a Community/Retail Pharmacy based in San Jose, CA and is specialized in Community/Retail Pharmacy. Goodlife Rx Llc practices in San Jose, CA. The NPI Number for Goodlife Rx Llc is 1205869674 and holds a License No. PHY55477 (California).

The current practice location address for Goodlife Rx Llc is 25 N 14Th Street, San Jose, CA and can be reached out via phone at 408-294-3219 and via fax at 408-294-3238.

Location: 25 N 14Th Street, San Jose, CA, 95112-6208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205869674
Provider Name
Goodlife Rx Llc
Credential
Provider Entity Type
Organization
Address
25 N 14Th Street, San Jose, CA, 95112-6208
Phone Number
408-294-3219
Fax Number
408-294-3238
Provider Enumeration Date
07/09/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205869674 01 CA MEDI-CAL PROVIDER NUMBER
PHY55477 01 CA BOARD OF PHARMACY PERMIT
05-21092 01 CA NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
25 N 14Th Street
City
San Jose
State
California
Zip
95112-6208
Phone Number
408-294-3219
Fax Number
408-294-3238
person
Provider Business Mailing Address Details
Address
25 N 14Th Street
City
San Jose
State
California
Zip
95112-6208
Phone Number
408-294-3219
Fax Number
408-294-3238
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY55477 (California)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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