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NPI Code Detail

MEDICARE: CATHERINE JOHNSON PHARMD, BCOP

MEDICARE: CATHERINE JOHNSON PHARMD, BCOP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835X0200XOncology Pharmacist066198NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1066198OTHERNYNEW YORK PHARMACIST LICENSE

General Provider Information

NPI Number : 1013638576
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JOHNSON PHARMD, BCOP
Provider Business Mailing Address
First Line : 1 CAMPI CT
Second Line :
City : DUMONT
State : NJ
Zip : 07628-1701
Country : US
Telephone Number : 201-800-1997
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-5891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2022
Last Update Date : 09/02/2022

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