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NPI Code Detail

MEDICARE: JESSICA JOHNSON PHARMD

MEDICARE: JESSICA JOHNSON 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
1183500000XPharmacist43918TX

General Provider Information

NPI Number : 1891099743
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JOHNSON PHARMD
Provider Business Mailing Address
First Line : 6610 TIDWELL
Second Line :
City : HOUSTON
State : TX
Zip : 77016
Country : US
Telephone Number : 713-633-2230
Fax Number : 713-633-4383
Provider Business Practice Location Address
First Line : 6610 TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77016-4824
Country : US
Telephone Number : 713-633-2230
Fax Number : 713-633-4383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2011
Last Update Date : 10/19/2011

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