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NPI Code Detail

MEDICARE: STEPHY JOHNSON

MEDICARE: STEPHY JOHNSON
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
1183500000XPharmacistRP453816PA

General Provider Information

NPI Number : 1164070637
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHY JOHNSON
Provider Business Mailing Address
First Line : 1058 DOMINO LN
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-2208
Country : US
Telephone Number : 267-229-3409
Fax Number :
Provider Business Practice Location Address
First Line : 2503 WELSH RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-3238
Country : US
Telephone Number : 215-671-0544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 08/28/2019

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Directions to “ STEPHY JOHNSON ” Practice Location

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