Provider Demographics
NPI:1386930444
Name:JAJA DISCOUNT PHARMACY PLLC
Entity type:Organization
Organization Name:JAJA DISCOUNT PHARMACY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIMA
Authorized Official - Middle Name:VALENTINE
Authorized Official - Last Name:OHAYA
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARMACY
Authorized Official - Phone:313-493-8868
Mailing Address - Street 1:13535 PURITAN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-3355
Mailing Address - Country:US
Mailing Address - Phone:313-493-8868
Mailing Address - Fax:
Practice Address - Street 1:13535 PURITAN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-3355
Practice Address - Country:US
Practice Address - Phone:313-493-8868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy