MEDICARE: DR. YVONNE IRENE JOHNSON PHARMD

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	183500000X	Pharmacist	14305	AZ

General Provider Information

NPI Number	:	1396722302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVONNE IRENE JOHNSON PHARMD

Provider Business Mailing Address
First Line	:	3940 N PLACITA DE LA ESCARPA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-2354
Country	:	US
Telephone Number	:	520-298-8233
Fax Number	:

Provider Business Practice Location Address
First Line	:	4512 E CAMP LOWELL DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1282
Country	:	US
Telephone Number	:	866-881-4902
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	07/17/2013

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