Provider Demographics
NPI:1316253909
Name:BRAUN, JOHN A (PHARMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:BRAUN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:A
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3325 S BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7245
Mailing Address - Country:US
Mailing Address - Phone:714-979-4060
Mailing Address - Fax:714-979-3153
Practice Address - Street 1:3325 S BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-7245
Practice Address - Country:US
Practice Address - Phone:714-979-4060
Practice Address - Fax:714-979-3153
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist