OrganizationAha Pharmaceutical Corporation(<Unavail>)PharmacySuppliersPractice Address2980 Kennedy Blvd., Jersey City, NJ 07306(201) 963-3617PECOS EnrollmentBased on the most recent information from CMS, provider Aha Pharmaceutical Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770617037Provider TypeOrganizationFull NameAha Pharmaceutical CorporationOther Name<Unavail>SubpartNoEnumeration Date3/16/2007Last Updated5/9/2011Contact InformationPractice LocationPractice Address2980 Kennedy Blvd., Jersey City, NJ 07306Phone(201) 963-3617Fax(201) 963-8616Mailing LocationMailing Address2980 Kennedy Blvd., Jersey City, NJ 07306Phone(201) 963-3617Fax(201) 963-8616Authorized OfficialNameGirgis, Amgad (Pharmacist)Phone(201) 963-3617Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00448800Provider IdentifiersIDDescriptionIssuerID4345304DescriptionMedicaidIssuerUnlistedNew Jersey