Provider Demographics
NPI:1588796544
Name:AAYUSH HEALTHCARE, INC.
Entity Type:Organization
Organization Name:AAYUSH HEALTHCARE, INC.
Other - Org Name:UNITED DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MR.
Authorized Official - Prefix:
Authorized Official - First Name:SIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLAVAJHALA
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARM, MS
Authorized Official - Phone:732-423-1166
Mailing Address - Street 1:507 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1466
Mailing Address - Country:US
Mailing Address - Phone:973-482-9300
Mailing Address - Fax:973-482-9322
Practice Address - Street 1:507 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1466
Practice Address - Country:US
Practice Address - Phone:973-482-9300
Practice Address - Fax:973-482-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00711300333600000X
3336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130118OtherPK