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NPI Code Detail

MEDICARE: TIFFANY A JOHNSON

MEDICARE: TIFFANY A 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
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1255008082
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY A JOHNSON
Provider Business Mailing Address
First Line : 403 S COLORADO ST
Second Line :
City : LOCKHART
State : TX
Zip : 78644-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 403 S COLORADO ST
Second Line :
City : LOCKHART
State : TX
Zip : 78644-2702
Country : US
Telephone Number : 512-398-6797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2021
Last Update Date : 08/28/2021

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Directions to “ TIFFANY A JOHNSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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