Organization
AJO GROUP INC
Active
Other names
AJ WOODHAVEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA ZARGAROVA (SP)
(718) 899-2001
Entity
Organization
Contact information
Practice address
6204B WOODHAVEN BLVD, REGO PARK, NY 11374-2745
(718) 899-2001
(718) 899-2002
Mailing address
6204B WOODHAVEN BLVD, REGO PARK, NY 11374-2745
(718) 899-2001
(718) 899-2004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PK
2169005
—
Enumeration date
02/24/2017
Last updated
05/04/2017
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