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NPI Code Detail

MEDICARE: MRS. RACHEL EILEEN JOHNSON RPH

MEDICARE: MRS. RACHEL EILEEN JOHNSON RPH
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
1183500000XPharmacist12774MD

General Provider Information

NPI Number : 1609159631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL EILEEN JOHNSON RPH
Provider Business Mailing Address
First Line : 110 HOSPITAL RD STE 100
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-4039
Country : US
Telephone Number : 410-535-3838
Fax Number : 410-535-2036
Provider Business Practice Location Address
First Line : 110 HOSPITAL RD STE 100
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-4039
Country : US
Telephone Number : 410-535-3838
Fax Number : 410-535-2036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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