Provider Demographics
NPI:1164827150
Name:MAJESTIC PHARMACY INC
Entity Type:Organization
Organization Name:MAJESTIC PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-597-0061
Mailing Address - Street 1:15516 SW OSCEOLA ST STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANTOWN
Mailing Address - State:FL
Mailing Address - Zip Code:34956-3414
Mailing Address - Country:US
Mailing Address - Phone:772-597-0061
Mailing Address - Fax:
Practice Address - Street 1:15516 SW OSCEOLA ST STE A
Practice Address - Street 2:
Practice Address - City:INDIANTOWN
Practice Address - State:FL
Practice Address - Zip Code:34956-3414
Practice Address - Country:US
Practice Address - Phone:772-597-0061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy