MEDICARE: CONSULTANT PHARMACISTS INC

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
1	1835P1200X	Pharmacotherapy Pharmacist	111971	MN

General Provider Information

NPI Number	:	1346671112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULTANT PHARMACISTS INC

Provider Business Mailing Address
First Line	:	PO BOX 441
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56538-0441
Country	:	US
Telephone Number	:	218-770-6380
Fax Number	:	218-736-8773

Provider Business Practice Location Address
First Line	:	1413 HOOT LAKE DR
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-3953
Country	:	US
Telephone Number	:	218-770-6380
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. TODD A JOHNSON
Credential	:	PHARM.D.
Telephone Number	:	218-770-6380

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	12/04/2013

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