Provider Demographics
NPI:1659352896
Name:ALJAN PHARMACY CORP
Entity Type:Organization
Organization Name:ALJAN PHARMACY CORP
Other - Org Name:ALDO DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER , PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOLPI
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARMACY
Authorized Official - Phone:631-661-6166
Mailing Address - Street 1:604 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-3113
Mailing Address - Country:US
Mailing Address - Phone:631-661-6166
Mailing Address - Fax:631-661-6175
Practice Address - Street 1:604 UNION BLVD
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-3113
Practice Address - Country:US
Practice Address - Phone:631-661-6166
Practice Address - Fax:631-661-6175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty