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General NPI Number Information
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NPI Number | 1194844126
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Entity Type | Individual
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Provider Name | CAROL M JOHNSON PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 601 S BLISS AVE
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City | DUMAS
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State | TX
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Zip | 79029-4434
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Country | US
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Telephone | 806-935-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S BLISS AVE
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City | DUMAS
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State | TX
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Zip | 79029-4434
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Country | US
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Telephone | 806-935-2333
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16435
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02472
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License Number State | TX
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