Provider Demographics
NPI:1427243203
Name:ORR, JOHN M (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:ORR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 HARPER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-5152
Mailing Address - Country:US
Mailing Address - Phone:407-886-2670
Mailing Address - Fax:
Practice Address - Street 1:5255 HARPER VALLEY RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-5152
Practice Address - Country:US
Practice Address - Phone:407-886-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist