Organization · NPI-2

Aen Corp

Pharmacy, Community/Retail Pharmacy · Jackson Heights, NY

NPI number1750426383
StatusActive
Last updated in NPPESMay 4, 2016

Details

NPI
1750426383
Entity type
Organization (NPI-2)
Legal business name
Aen Corp
Organization subpart
No
Enumeration date
Feb 21, 2007
Last updated
May 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy024469NYYes
333600000X Pharmacy––

Other names

  • Junction Blvd Pharmacy (Doing Business As)

Practice location

95 53 Roosevelt Ave
Jackson Heights, NY 11372

Phone 718-396-4030 · Fax 718-396-3989

Mailing address

95 53 Roosevelt Ave
Jackson Heights, NY 11372

Phone 718-396-4030 · Fax 718-396-3989

Authorized official

George Melanthiou
Supervising Pharmacist
7183964030

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