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NPI Code Detail

MEDICARE: CHRISTOPHER MICHAEL JOHNSON PHARMACIST

MEDICARE: CHRISTOPHER MICHAEL JOHNSON PHARMACIST
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
1183500000XPharmacist03117416OH

General Provider Information

NPI Number : 1316229354
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MICHAEL JOHNSON PHARMACIST
Provider Business Mailing Address
First Line : 4671 NATHANIEL GLEN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1540
Country : US
Telephone Number : 513-574-5288
Fax Number :
Provider Business Practice Location Address
First Line : 6918 HAMILTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-5212
Country : US
Telephone Number : 513-931-1717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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