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NPI Code Detail

MEDICARE: G & J JOHNSON ENTERPRISES INC

MEDICARE: G & J JOHNSON ENTERPRISES 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
1183500000XPharmacist15481TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649265091
Entity Type Code : Organization
Provider Name (Legal Business Name) : G & J JOHNSON ENTERPRISES INC
Provider Business Mailing Address
First Line : PO BOX 399
Second Line :
City : DALHART
State : TX
Zip : 79022-0399
Country : US
Telephone Number : 806-244-8616
Fax Number : 806-244-8190
Provider Business Practice Location Address
First Line : 704 MAPLE AVE
Second Line :
City : DALHART
State : TX
Zip : 79022-3814
Country : US
Telephone Number : 806-244-8616
Fax Number : 806-244-8190
Authorized Official
Title or Position : PHARMACIST OWNER
Name : MR. GARY W JOHNSON
Credential : RPH
Telephone Number : 806-244-8616
Provider Enumeration Date : 09/13/2005
Last Update Date : 08/22/2020

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Directions to “G & J JOHNSON ENTERPRISES INC ” Practice Location

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