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NPI Code Detail

MEDICARE: A & J PHARMACY AND SURGICAL SUPPLIES INC

MEDICARE: A & J PHARMACY AND SURGICAL SUPPLIES INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy031275NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12135487OTHERPK

General Provider Information

NPI Number : 1093075327
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & J PHARMACY AND SURGICAL SUPPLIES INC
Provider Business Mailing Address
First Line : 13108 LIBERTY AVE
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-3124
Country : US
Telephone Number : 718-323-3700
Fax Number : 718-323-3705
Provider Business Practice Location Address
First Line : 13108 LIBERTY AVE
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-3124
Country : US
Telephone Number : 718-323-3700
Fax Number : 718-323-3705
Authorized Official
Title or Position : OWNER
Name : SHARIQ RIZVI
Credential :
Telephone Number : 516-376-6505
Provider Enumeration Date : 05/21/2012
Last Update Date : 12/20/2016

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Directions to “A & J PHARMACY AND SURGICAL SUPPLIES INC ” Practice Location

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