Provider Demographics
NPI:1457662876
Name:AJIJO INC
Entity Type:Organization
Organization Name:AJIJO INC
Other - Org Name:LUXE MED COMPOUNDING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:FOLARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AJIJO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:972-906-0814
Mailing Address - Street 1:560 W MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3665
Mailing Address - Country:US
Mailing Address - Phone:972-906-0900
Mailing Address - Fax:972-906-0814
Practice Address - Street 1:560 W MAIN ST
Practice Address - Street 2:STE 105
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3629
Practice Address - Country:US
Practice Address - Phone:972-906-0800
Practice Address - Fax:972-906-0814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX269923336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy