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NPI Code Detail

MEDICARE: DELLA CORBIN-JOHNSON RPH

MEDICARE:   DELLA  CORBIN-JOHNSON  RPH
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
1183500000XPharmacistRPH017061GA

General Provider Information

NPI Number : 1245182666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELLA CORBIN-JOHNSON RPH
Provider Business Mailing Address
First Line : 554 LYNN VALLEY WAY
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-4861
Country : US
Telephone Number : 404-616-9715
Fax Number : 404-616-9777
Provider Business Practice Location Address
First Line : 554 LYNN VALLEY WAY
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-4861
Country : US
Telephone Number : 404-616-9715
Fax Number : 404-616-9777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ DELLA CORBIN-JOHNSON RPH” Practice Location

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