Provider Demographics
NPI:1285917021
Name:JAMJEN ENTERPRISES INC
Entity type:Organization
Organization Name:JAMJEN ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:214-794-2441
Mailing Address - Street 1:510 N ZANG BLVD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4451
Mailing Address - Country:US
Mailing Address - Phone:214-941-4360
Mailing Address - Fax:214-941-4160
Practice Address - Street 1:510 N ZANG BLVD
Practice Address - Street 2:SUITE # 103
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4451
Practice Address - Country:US
Practice Address - Phone:214-941-4360
Practice Address - Fax:214-941-4160
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMJEN ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-27
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty