Provider Demographics
NPI:1235663337
Name:SCOJAY, LOKEM AUGUSTINE
Entity Type:Individual
Prefix:
First Name:LOKEM
Middle Name:AUGUSTINE
Last Name:SCOJAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5605
Mailing Address - Country:US
Mailing Address - Phone:347-627-4778
Mailing Address - Fax:347-627-4779
Practice Address - Street 1:1672 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5605
Practice Address - Country:US
Practice Address - Phone:347-627-4778
Practice Address - Fax:347-627-4779
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist