Individual
MR. AJAI PRAKASH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
14303 HILLSIDE AVE, JAMAICA, NY 11435-3230
(718) 526-0310
(718) 206-2337
Mailing address
14303 HILLSIDE AVE, JAMAICA, NY 11435-3230
(718) 526-0310
(718) 206-2337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30057
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816582
—
NY
Enumeration date
01/10/2006
Last updated
07/08/2007
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