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NPI Code Detail

MEDICARE: JAJAB ENTERPRISE SERVICES LLC

MEDICARE: JAJAB ENTERPRISE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy31347TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12169342OTHERPK

General Provider Information

NPI Number : 1215469424
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAJAB ENTERPRISE SERVICES LLC
Provider Business Mailing Address
First Line : 3010 S RICHEY ST STE C
Second Line : SUITE C
City : HOUSTON
State : TX
Zip : 77017-7220
Country : US
Telephone Number : 281-994-7363
Fax Number : 281-845-7523
Provider Business Practice Location Address
First Line : 3010 S RICHEY ST STE C
Second Line : SUITE C
City : HOUSTON
State : TX
Zip : 77017-7220
Country : US
Telephone Number : 281-994-7363
Fax Number : 281-845-7523
Authorized Official
Title or Position : DR.
Name : KEVIN MCDONALD
Credential :
Telephone Number : 281-994-7603
Provider Enumeration Date : 03/28/2017
Last Update Date : 07/19/2018

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Directions to “JAJAB ENTERPRISE SERVICES LLC ” Practice Location

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