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NPI Code Detail

MEDICARE: RACHAEL LYNETTE JOHNSON

MEDICARE:   RACHAEL LYNETTE 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 : 1295300283
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL LYNETTE JOHNSON
Provider Business Mailing Address
First Line : 1860 S ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3764
Country : US
Telephone Number : 847-439-8892
Fax Number :
Provider Business Practice Location Address
First Line : 1860 S ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3764
Country : US
Telephone Number : 847-439-8892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2021
Last Update Date : 05/23/2021

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Directions to “ RACHAEL LYNETTE JOHNSON ” Practice Location

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