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General NPI Number Information
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NPI Number | 1619128493
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Entity Type | Organization
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Legal Business Name | AJUEYITST HOLDINGS INC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 9459 HIGHWAY 5 STE U
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1539
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Country | US
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Telephone | 678-391-1139
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Fax | 678-391-1141
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Provider Business Mailing Address
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Address Line | PO BOX 5158
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City | DOUGLASVILLE
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State | GA
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Zip | 30154-0003
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Country | US
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Telephone | 678-391-1140
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Fax | 678-391-1141
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRIDGET AJUEYITSI
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Credential |
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Telephone | 678-391-1139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009518
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License Number State | GA
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