Provider Demographics
NPI:1215206636
Name:BAJJOKA, ALBERT (PHARMD, BCPS)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:BAJJOKA
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 BRIDGE TRL W
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-4843
Mailing Address - Country:US
Mailing Address - Phone:248-366-7780
Mailing Address - Fax:
Practice Address - Street 1:5402 BRIDGE TRL W
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-4843
Practice Address - Country:US
Practice Address - Phone:248-366-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025014183500000X
MI2911841835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist