Healthcare Provider Details

I. General information

NPI: 1073673794
Provider Name (Legal Business Name): JAMES HUGH JOHNSON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S. MAIN ST
WALNUT CREEK CA
94596-5318
US

IV. Provider business mailing address

603 MILES CT
PLEASANT HILL CA
94523-1605
US

V. Phone/Fax

Practice location:
  • Phone: 925-259-4655
  • Fax:
Mailing address:
  • Phone: 925-824-7437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: