Provider Demographics
NPI:1194141119
Name:AJLONI, DINO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DINO
Middle Name:
Last Name:AJLONI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-6480
Mailing Address - Country:US
Mailing Address - Phone:904-377-5700
Mailing Address - Fax:
Practice Address - Street 1:4405 SARTILLO RD
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-5240
Practice Address - Country:US
Practice Address - Phone:904-377-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist