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NPI Code Detail

MEDICARE: DR. THOMAS JAMES JOHNSON PHARM.D., BCPS

MEDICARE: DR. THOMAS JAMES JOHNSON PHARM.D., BCPS
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
11835P1200XPharmacotherapy PharmacistR-5055SD

General Provider Information

NPI Number : 1669469821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JAMES JOHNSON PHARM.D., BCPS
Provider Business Mailing Address
First Line : 1325 S CLIFF AVE
Second Line : BOX 5045
City : SIOUX FALLS
State : SD
Zip : 57105-1007
Country : US
Telephone Number : 605-322-8309
Fax Number : 605-322-8370
Provider Business Practice Location Address
First Line : 1325 S CLIFF AVE
Second Line : BOX 5045
City : SIOUX FALLS
State : SD
Zip : 57105-1007
Country : US
Telephone Number : 605-322-8309
Fax Number : 605-322-8370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 09/18/2012

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