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Contact Information

AJ PHARMACY STORE 02
468 SMITHFIELD RD
NORTH PROVIDENCE, RI02904-4266
 Phone: 401-366-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AJ PHARMACY STORE 02

NPI # 1003561655
LBN Legal business name AJ PHARMACY STORE 02
Authorized official CHARLES AGWUNOBI - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/12/2022
Last updated 09/08/2022 - About 4 years ago
Identifiers
RI Medicaid 000000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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