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General NPI Number Information
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NPI Number | 1548534860
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Entity Type | Organization
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Legal Business Name | JOHNSONS FAMILY PHARMACY, LLC
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 7277 NC HIGHWAY 42 WEST SUITE 208
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City | RALEIGH
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State | NC
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Zip | 27603-7527
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Country | US
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Telephone | 919-662-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 7277 NC HIGHWAY 42 WEST SUITE 208
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City | RALEIGH
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State | NC
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Zip | 27603-7527
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. MARY MARGARET JOHNSON
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Credential | PHARMD.
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Telephone | 919-662-7550
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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 | 17745
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License Number State | NC
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