Provider Demographics
NPI:1497257604
Name:MAJOR, JOHN (PHARMD,DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:MAJOR
Suffix:
Gender:M
Credentials:PHARMD,DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19811 GULF BLVD APT 401
Mailing Address - Street 2:
Mailing Address - City:INDIAN SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33785-2388
Mailing Address - Country:US
Mailing Address - Phone:303-889-9604
Mailing Address - Fax:
Practice Address - Street 1:19811 GULF BLVD APT 401
Practice Address - Street 2:
Practice Address - City:INDIAN SHORES
Practice Address - State:FL
Practice Address - Zip Code:33785-2388
Practice Address - Country:US
Practice Address - Phone:303-889-9604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-03
Last Update Date:2018-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL53616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53616OtherLICENSE
FL53616OtherLICENSE NUMBER