Provider Demographics
NPI:1477906105
Name:OHAYA, CHIMA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:CHIMA
Middle Name:
Last Name:OHAYA
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 1:21863 HIDDEN RIVERS DR N
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-1008
Mailing Address - Country:US
Mailing Address - Phone:313-629-7922
Mailing Address - Fax:
Practice Address - Street 1:25100 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2207
Practice Address - Country:US
Practice Address - Phone:586-445-8181
Practice Address - Fax:586-445-8185
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302037784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist