Organization · NPI-2
Ajo Group INC
Pharmacy, Community/Retail Pharmacy · Rego Park, NY
NPI number1881134864
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1881134864
- Entity type
- Organization (NPI-2)
- Legal business name
- Ajo Group INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2017
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 035388 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Aj Woodhaven Pharmacy (Doing Business As)
Practice location
6204b Woodhaven BlvdRego Park, NY 11374-2745
Phone 718-899-2001 · Fax 718-899-2002
Mailing address
6204b Woodhaven BlvdRego Park, NY 11374-2745
Phone 718-899-2001 · Fax 718-899-2004
Authorized official
Olga Zargarova
Sp
7188992001
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