Ajs Supermarket LLC
NPI #1073628855 in Hillside, New Jersey
Provider Information
- NPI Number
- 1073628855
- Entity Type
- Organization
- Organization Name
- Ajs Supermarket LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jan 16, 2012
Practice Location
- Address
- 367 ROUTE 22
- City
- Hillside
- State
- New Jersey
- ZIP Code
- 07205-2056
- Phone
- (908) 810-8060
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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