Provider Demographics
NPI:1588191530
Name:A.J.'S PHARMACY
Entity Type:Organization
Organization Name:A.J.'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-779-7024
Mailing Address - Street 1:1750 S RAILROAD SPRINGS BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-8720
Mailing Address - Country:US
Mailing Address - Phone:928-779-7024
Mailing Address - Fax:
Practice Address - Street 1:1750 S RAILROAD SPRINGS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-8720
Practice Address - Country:US
Practice Address - Phone:928-779-7024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2017-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy