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Contact Information

ACJ PHARMACY CORP.
44 45A KISSENA BLVD
FLUSHING, NY11355-3055
 Phone: 718-886-6200
 Fax: 718-886-6687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACJ PHARMACY CORP.

NPI Number 1932120995
LBN Legal business name ACJ PHARMACY CORP.
Authorized official DENNIS WONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 06/17/2014 - About 12 years ago
Identifiers
NY License # 018887
NY Medicaid 00929460
Other 2064217 PK
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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