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General NPI Number Information
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NPI Number | 1689438947
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Entity Type | Organization
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Legal Business Name | JOHNSON PHARMACY LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 927 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48502-1503
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Country | US
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Telephone | 810-348-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 927 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48502-1503
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Country | US
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Telephone | 810-348-6644
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK CHARLES JOHNSON
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Credential | R. PH.
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Telephone | 810-247-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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