Organization
AJIJO INC
Active
Other names
LUXE MED COMPOUNDING, Lewisville Medical pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOLARIN AJIJO PHARMD (DIRECTOR OF PHARMACY SERVICES)
(972) 906-0814
Entity
Organization
Contact information
Practice address
560 W MAIN ST, STE 105, LEWISVILLE, TX 75057-3629
(972) 906-0800
(972) 906-0814
Mailing address
560 W MAIN ST STE 105, LEWISVILLE, TX 75057-3665
(972) 906-0900
(972) 906-0814
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26992
TX
3336C0004X
Compounding Pharmacy
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—
Other
Enumeration date
06/30/2010
Last updated
02/01/2021
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