MEDICARE: DR. NATALIE JOHNS PHARMD

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
1	183500000X	Pharmacist	13923	NE

General Provider Information

NPI Number	:	1033455332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE JOHNS PHARMD

Provider Business Mailing Address
First Line	:	2905 INCA ST
Second Line	:	APT #5091
City	:	DENVER
State	:	CO
Zip	:	80202-1023
Country	:	US
Telephone Number	:	720-340-6087
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 E VIRGINIA AVE
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-1510
Country	:	US
Telephone Number	:	303-209-0183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2012
Last Update Date	:	12/02/2020

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