MEDICARE: DR. HEATHER JOHNSON RPH, PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	40822	TX

General Provider Information

NPI Number	:	1205435906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER JOHNSON RPH, PHARMD

Provider Business Mailing Address
First Line	:	1522 LINDSEY TERRACE LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-3338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10010 CYPRESSWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3408
Country	:	US
Telephone Number	:	281-807-1056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	10/23/2020

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Directions to “ DR. HEATHER JOHNSON RPH, PHARMD” Practice Location

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