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General NPI Number Information
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NPI Number | 1174423826
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Entity Type | Individual
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Provider Name | LUCY JOHNSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 465 SAINT MICHAELS DR
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City | SANTA FE
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State | NM
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Zip | 87505-7670
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Country | US
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Telephone | 505-913-5287
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Fax | 505-913-4949
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Provider Business Mailing Address
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Address Line | 613 PAULIN ST
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City | SANTA FE
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State | NM
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Zip | 87505-1039
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Country | US
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Telephone | 719-440-8845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PC00000538
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License Number State | NM
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