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NPI Code Detail

MEDICARE: DR. KARA LYNN JOHNSON PHARMD

MEDICARE: DR. KARA LYNN JOHNSON 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
1183500000XPharmacist11017NE

General Provider Information

NPI Number : 1104946854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARA LYNN JOHNSON PHARMD
Provider Business Mailing Address
First Line : 31065 SANDER DR
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-9616
Country : US
Telephone Number : 402-564-3058
Fax Number : 402-563-0915
Provider Business Practice Location Address
First Line : 3010 23RD ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-3122
Country : US
Telephone Number : 402-562-7668
Fax Number : 402-563-0915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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