Healthcare Provider Details

I. General information

NPI: 1033561121
Provider Name (Legal Business Name): ALEXANDRA J MAJORS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 S MAIN ST
CHARLESTON MO
63834-1644
US

IV. Provider business mailing address

1700 GARRISON PL
COLUMBIA MO
65203-4733
US

V. Phone/Fax

Practice location:
  • Phone: 573-683-3307
  • Fax:
Mailing address:
  • Phone: 573-268-2593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2016023632
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: