Provider Demographics
NPI:1285193722
Name:AJSI LLC
Entity Type:Organization
Organization Name:AJSI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YUVAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:352-901-1090
Mailing Address - Street 1:2468 U.S. 44 1/27
Mailing Address - Street 2:SUITE(S) 203
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731
Mailing Address - Country:US
Mailing Address - Phone:352-901-1090
Mailing Address - Fax:352-358-0212
Practice Address - Street 1:6604 HARNEY RD STE I
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-9424
Practice Address - Country:US
Practice Address - Phone:352-901-1090
Practice Address - Fax:352-358-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy