Organization
AJ PHARMACY STORE 02
Active
Parent organization
AJ PHARMACY LLC
Other names
AJ pharmacy/convenience store, AJ Pharmacy store 02
Organization subpart
Yes
Provider details
NPI number
Legal business name
AJ PHARMACY LLC
Authorized official
CHARLES AGWUNOBI (OWNER)
(401) 499-5427
Entity
Organization
Contact information
Practice address
468 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-4266
(401) 366-2800
Mailing address
1017 SMITH ST, PROVIDENCE, RI 02908-2747
(401) 366-2800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
RI
Enumeration date
02/12/2022
Last updated
09/08/2022
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