Organization
AJS RIDGEWOOD CHEMIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LASALA (SECRETARY)
(718) 456-4400
Entity
Organization
Contact information
Practice address
6819 FRESH POND RD, RIDGEWOOD, NY 11385-5240
(718) 456-4400
(718) 456-4401
Mailing address
6819 FRESH POND RD, RIDGEWOOD, NY 11385-5240
(718) 456-4400
(718) 456-4401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032493
NY
Other
Enumeration date
01/08/2014
Last updated
09/16/2014
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