Provider Demographics
NPI:1154053999
Name:AYUSH AND AYAN LLC
Entity Type:Organization
Organization Name:AYUSH AND AYAN LLC
Other - Org Name:LONGANVILLE WEST END PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AAKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:470-220-7232
Mailing Address - Street 1:101 TARA COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8018
Mailing Address - Country:US
Mailing Address - Phone:770-655-0286
Mailing Address - Fax:
Practice Address - Street 1:101 TARA COMMONS DR STE 100
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-8018
Practice Address - Country:US
Practice Address - Phone:470-220-7232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AYUSH AND AYAN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy