Provider Demographics
NPI:1982491395
Name:MAJOR, STACY (CPHT, RPHT)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:MAJOR
Suffix:
Gender:
Credentials:CPHT, RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4751 16TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-2231
Mailing Address - Country:US
Mailing Address - Phone:941-920-4952
Mailing Address - Fax:
Practice Address - Street 1:4751 16TH AVE E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-2231
Practice Address - Country:US
Practice Address - Phone:941-920-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT37237183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician