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NPI Code Detail

MEDICARE: DR. CATHERINE DIANE JOHNSON PHARMD

MEDICARE:  DR. CATHERINE DIANE 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
11835P1300XPsychiatric Pharmacist9492OR
21835P1300XPsychiatric PharmacistPH60010896WA

General Provider Information

NPI Number : 1164420600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE DIANE JOHNSON PHARMD
Provider Business Mailing Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 608-256-1901
Fax Number : 608-280-7203
Provider Business Practice Location Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 608-256-1901
Fax Number : 608-280-7203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 03/07/2023

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Directions to “ DR. CATHERINE DIANE JOHNSON PHARMD” Practice Location

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