Organization
AJIMASY INC
Active
Other names
BARNERT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD ABUKWAIK (PRESIDENT)
(973) 928-2121
Entity
Organization
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 928-2121
(973) 928-2126
Mailing address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 928-2121
(973) 928-2126
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00699700
NJ
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00699700
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3196652
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2009
Last updated
08/24/2010
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