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NPI Code Detail

MEDICARE: MONIQUE ANGELLA JOHNSON PHARM.D.

MEDICARE: MONIQUE ANGELLA JOHNSON PHARM.D.
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
1183500000XPharmacistPR5746ME

General Provider Information

NPI Number : 1952905218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE ANGELLA JOHNSON PHARM.D.
Provider Business Mailing Address
First Line : 65 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2057
Country : US
Telephone Number : 207-878-0017
Fax Number : 207-878-0010
Provider Business Practice Location Address
First Line : 65 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2057
Country : US
Telephone Number : 207-878-0017
Fax Number : 207-878-0010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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