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NPI Code Detail

MEDICARE: DENNIS NEIL JOHNSON RPH

MEDICARE: DENNIS NEIL 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
1183500000XPharmacist0000003238TN

General Provider Information

NPI Number : 1982941571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS NEIL JOHNSON RPH
Provider Business Mailing Address
First Line : 110 INDIAN LAKE BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-6206
Country : US
Telephone Number : 615-264-2901
Fax Number : 615-264-6451
Provider Business Practice Location Address
First Line : 110 INDIAN LAKE BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-6206
Country : US
Telephone Number : 615-264-2901
Fax Number : 615-264-6451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2013
Last Update Date : 01/15/2013

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