Provider Demographics
NPI:1558464743
Name:NAJOR, GERALD JACOB (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:JACOB
Last Name:NAJOR
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 GREEN TREE ROAD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304
Mailing Address - Country:US
Mailing Address - Phone:313-895-0357
Mailing Address - Fax:313-894-5573
Practice Address - Street 1:7350 GRAND RIVER
Practice Address - Street 2:FRASER DRUGS
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204
Practice Address - Country:US
Practice Address - Phone:313-895-0357
Practice Address - Fax:313-894-5573
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist