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NPI Code Detail

MEDICARE: MR. CHRISTOPHER JOHNSON CPHT

MEDICARE:  MR. CHRISTOPHER  JOHNSON  CPHT
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
1183700000XPharmacy Technician010513MS

General Provider Information

NPI Number : 1174917991
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER JOHNSON CPHT
Provider Business Mailing Address
First Line : 738 S GLOSTER ST
Second Line :
City : TUPELO
State : MS
Zip : 38801-4932
Country : US
Telephone Number : 662-844-0432
Fax Number : 662-844-9853
Provider Business Practice Location Address
First Line : 738 S GLOSTER ST
Second Line :
City : TUPELO
State : MS
Zip : 38801-4932
Country : US
Telephone Number : 662-844-0432
Fax Number : 662-844-9853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2015
Last Update Date : 03/19/2015

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Directions to “ MR. CHRISTOPHER JOHNSON CPHT” Practice Location

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