Organization
AJI INC.
Active
Other names
SHEEFA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ANDERSON (BILLING MANAGER)
(973) 345-4242
Entity
Organization
Contact information
Practice address
1040 MAIN ST, PATERSON, NJ 07503-2212
(973) 345-4242
(973) 345-3307
Mailing address
1040 MAIN ST, PATERSON, NJ 07503-2212
(973) 345-4242
(973) 345-3307
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
28RS00560300
NJ
3336C0003X
Community/Retail Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163244
MEDICAID DME
NJ
01
—
3133066
NABP
NJ
05
—
7743807
—
NJ
Enumeration date
02/02/2007
Last updated
01/09/2017
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