Individual
JAE AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4505 BERGENLINE AVE, UNION CITY, NJ 07087-2723
(201) 751-4984
(201) 751-4985
Mailing address
4505 BERGENLINE AVE, UNION CITY, NJ 07087-2723
(201) 751-4984
(201) 751-4985
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00755900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00755900
PHARMACY PERMIT NUMBER
NJ
Enumeration date
05/16/2017
Last updated
07/21/2022
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