NPIRadar

Jae Ahn Valid NPI

Individual provider · Community/Retail Pharmacy · Union City, NJ

NPI
1548797962
Type
Individual (Type 1)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
28RS00755900 (NJ)
Sex
Male
Sole proprietor
Yes
Enumerated
2017-05-16
Last updated
2022-07-21
Practice location
4505 Bergenline Ave
Union City, NJ 07087-2723
(201) 751-4984

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