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NPI Code Detail

MEDICARE: MARY ELIZABETH JOHNSON PHARMD

MEDICARE: MARY ELIZABETH 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
1183500000XPharmacistSO23420AZ
2390200000XStudent in an Organized Health Care Education/Training Program
3183500000XPharmacistS023420AZ

General Provider Information

NPI Number : 1437645579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH JOHNSON PHARMD
Provider Business Mailing Address
First Line : 5201 E HAWTHORNE PL
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1318
Country : US
Telephone Number : 520-954-3485
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number : 520-751-8523
Fax Number : 520-722-5876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 04/22/2025

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