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NPI Code Detail

MEDICARE: BOBBI J JOHNSON PHARMD

MEDICARE: BOBBI J 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
1183500000XPharmacist5762SD

General Provider Information

NPI Number : 1558745315
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBI J JOHNSON PHARMD
Provider Business Mailing Address
First Line : 2150 DAKOTA AVE S
Second Line :
City : HURON
State : SD
Zip : 57350-4311
Country : US
Telephone Number : 605-352-4377
Fax Number : 605-352-9663
Provider Business Practice Location Address
First Line : 2150 DAKOTA AVE S
Second Line :
City : HURON
State : SD
Zip : 57350-4311
Country : US
Telephone Number : 605-352-4377
Fax Number : 605-352-9663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2015
Last Update Date : 07/11/2015

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Directions to “ BOBBI J JOHNSON PHARMD” Practice Location

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