NPI | 1003561655 |
---|---|
Doing Business As | AJ PHARMACY STORE 02 |
Doing Business As | AJ PHARMACY/CONVENIENCE STORE |
Entity Type | Organization |
Authorized Contact | CHARLES AGWUNOBI Owner 401-499-5427 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-02-12 |
Last Update Date | 2022-09-08 |