Provider Demographics
NPI:1689203283
Name:MAJORS, JESSIE MARDELL (PHARMD)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:MARDELL
Last Name:MAJORS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:MARDELL
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:COLO
Mailing Address - State:IA
Mailing Address - Zip Code:50056-0007
Mailing Address - Country:US
Mailing Address - Phone:515-450-7442
Mailing Address - Fax:
Practice Address - Street 1:802 S CENTER ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-3350
Practice Address - Country:US
Practice Address - Phone:641-752-2266
Practice Address - Fax:641-752-1703
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist