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NPI Code Detail

MEDICARE: WAJEJO LLC

MEDICARE: WAJEJO LLC
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1790423655
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAJEJO LLC
Provider Business Mailing Address
First Line : 719 S WEST END BLVD
Second Line :
City : QUAKERTOWN
State : PA
Zip : 18951-2613
Country : US
Telephone Number : 445-448-0857
Fax Number : 267-217-6980
Provider Business Practice Location Address
First Line : 719 S WEST END BLVD
Second Line :
City : QUAKERTOWN
State : PA
Zip : 18951-2613
Country : US
Telephone Number : 445-448-0857
Fax Number : 267-217-6980
Authorized Official
Title or Position : DIRECTOR
Name : JENNIFER NIEDZWIKI
Credential :
Telephone Number : 267-217-6976
Provider Enumeration Date : 05/21/2022
Last Update Date : 08/01/2022

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Directions to “WAJEJO LLC ” Practice Location

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