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NPI Code Detail

MEDICARE: HARRY MILES JOHNS III PHARMD

MEDICARE:   HARRY MILES JOHNS III 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
1183500000XPharmacist016610KY

General Provider Information

NPI Number : 1417568551
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY MILES JOHNS III PHARMD
Provider Business Mailing Address
First Line : 3410 W BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-2824
Country : US
Telephone Number : 502-776-2528
Fax Number : 502-776-8044
Provider Business Practice Location Address
First Line : 3410 W BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-2824
Country : US
Telephone Number : 502-776-2528
Fax Number : 502-776-8044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “ HARRY MILES JOHNS III PHARMD” Practice Location

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