Provider Demographics
NPI:1467277517
Name:ORJI, JOY IJEOMA
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:IJEOMA
Last Name:ORJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17000 BISSONNET ST APT 1416
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3671
Mailing Address - Country:US
Mailing Address - Phone:206-375-9782
Mailing Address - Fax:
Practice Address - Street 1:30 FAIRVIEW AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1463
Practice Address - Country:US
Practice Address - Phone:651-699-6008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61430830183500000X
MN126758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist