Provider Demographics
NPI:1548543473
Name:SAKAYA, JACQUELINE MBWILLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:MBWILLE
Last Name:SAKAYA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8653 N NEWBURGH RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-1147
Mailing Address - Country:US
Mailing Address - Phone:734-667-1764
Mailing Address - Fax:
Practice Address - Street 1:8653 N NEWBURGH RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1147
Practice Address - Country:US
Practice Address - Phone:734-667-1764
Practice Address - Fax:734-335-7963
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist