Provider Demographics
NPI:1356952618
Name:DAJAJU PHARMACEUTICALS
Entity type:Organization
Organization Name:DAJAJU PHARMACEUTICALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/CFO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAN
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-680-4360
Mailing Address - Street 1:2611 SENTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1185
Mailing Address - Country:US
Mailing Address - Phone:408-680-4360
Mailing Address - Fax:
Practice Address - Street 1:2611 SENTER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1185
Practice Address - Country:US
Practice Address - Phone:408-680-4360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy