Provider Demographics
NPI:1902346992
Name:OJIAKU, OBINNA JAMES (PHARMD)
Entity type:Individual
Prefix:
First Name:OBINNA
Middle Name:JAMES
Last Name:OJIAKU
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 1:814 CAMERON LANDING DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6851
Mailing Address - Country:US
Mailing Address - Phone:612-807-4972
Mailing Address - Fax:
Practice Address - Street 1:42 SURREY PLZ
Practice Address - Street 2:SUITE 48
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-4633
Practice Address - Country:US
Practice Address - Phone:478-783-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH029608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist