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General NPI Number Information
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NPI Number | 1952606212
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Entity Type | Organization
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Legal Business Name | A & J PHARMACY LLC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1900 EMPIRE BLVD STE 160
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City | WEBSTER
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State | NY
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Zip | 14580-1898
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Country | US
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Telephone | 585-872-7575
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Fax | 585-872-7515
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Provider Business Mailing Address
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Address Line | 1900 EMPIRE BLVD STE 160
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City | WEBSTER
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State | NY
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Zip | 14580-1898
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Country | US
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Telephone | 585-872-7575
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Fax | 585-872-7515
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Authorized Official
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Title or Position | SP/OWNER
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Name | MS. SANDRA LE
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Credential | RPH/PIC
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Telephone | 585-872-7575
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 030499
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License Number State | NY
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