Healthcare Provider Details

I. General information

NPI: 1760932131
Provider Name (Legal Business Name): AJ PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD SUITE 210
TORRANCE CA
90503-4537
US

IV. Provider business mailing address

788 MORRIS TPKE FL 3
SHORT HILLS NJ
07078-2637
US

V. Phone/Fax

Practice location:
  • Phone: 310-543-1111
  • Fax:
Mailing address:
  • Phone: 973-869-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 53739
License Number StateCA

VIII. Authorized Official

Name: MR. ANUSH AMIN
Title or Position: PRESIDENT & OFFICER
Credential:
Phone: 973-869-2820