MEDICARE: ALJAN PHARMACY CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	010969	NY

General Provider Information

NPI Number	:	1659352896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALJAN PHARMACY CORP

Provider Business Mailing Address
First Line	:	604 UNION BLVD
Second Line	:
City	:	WEST ISLIP
State	:	NY
Zip	:	11795-3113
Country	:	US
Telephone Number	:	631-661-6166
Fax Number	:	631-661-6175

Provider Business Practice Location Address
First Line	:	604 UNION BLVD
Second Line	:
City	:	WEST ISLIP
State	:	NY
Zip	:	11795-3113
Country	:	US
Telephone Number	:	631-661-6166
Fax Number	:	631-661-6175

Authorized Official
Title or Position	:	OWNER , PHARMACIST
Name	:	MR. DAVID J VOLPI
Credential	:	BS PHARMACY
Telephone Number	:	631-661-6166

Provider Enumeration Date	:	11/06/2005
Last Update Date	:	08/22/2020

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Directions to “ALJAN PHARMACY CORP ” Practice Location

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