Provider Demographics
NPI:1801026158
Name:PJP2 INC
Entity Type:Organization
Organization Name:PJP2 INC
Other - Org Name:TAYLOR APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHARYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-299-7777
Mailing Address - Street 1:7700 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-2236
Mailing Address - Country:US
Mailing Address - Phone:313-299-7777
Mailing Address - Fax:313-299-7781
Practice Address - Street 1:7700 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-2236
Practice Address - Country:US
Practice Address - Phone:313-299-7777
Practice Address - Fax:313-299-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010091423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2373126OtherNCPDP PROVIDER IDENTIFICATION NUMBER