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NPI Code Detail

MEDICARE: DAVID CHRISTOPHER JOHNSON RPH

MEDICARE: DAVID CHRISTOPHER JOHNSON RPH
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
1183500000XPharmacist15384LA

General Provider Information

NPI Number : 1568466175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHRISTOPHER JOHNSON RPH
Provider Business Mailing Address
First Line : 1026 PARKWAY DR
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-6275
Country : US
Telephone Number : 318-352-3141
Fax Number : 318-357-0976
Provider Business Practice Location Address
First Line : 407 BIENVILLE ST
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-5702
Country : US
Telephone Number : 318-352-3141
Fax Number : 318-357-0976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 08/11/2011

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