Organization · NPI-2
A&Jrinc
Non-Pharmacy Dispensing Site · Fort Wayne, IN
NPI number1598337347
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1598337347
- Entity type
- Organization (NPI-2)
- Legal business name
- A&Jrinc
- Organization subpart
- No
- Enumeration date
- Jul 12, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Other names
- A&J Optical (Doing Business As)
Practice location
3629 N Clinton StFort Wayne, IN 46805-1858
Phone 260-444-2415
Mailing address
Po Box 10686Fort Wayne, IN 46853-0686
Phone 260-402-1843
Authorized official
Amber Tinsley
Owner/Manager
2604021843
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