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NPI Code Detail

MEDICARE: DR. DENETRA JOHNSON PHARMD

MEDICARE: DR. DENETRA 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
1183500000XPharmacist41837TX

General Provider Information

NPI Number : 1750619847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENETRA JOHNSON PHARMD
Provider Business Mailing Address
First Line : 16623 E RIPPLERIDGE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77053-5305
Country : US
Telephone Number : 832-489-5195
Fax Number :
Provider Business Practice Location Address
First Line : 6610 TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77016-4824
Country : US
Telephone Number : 713-633-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2009
Last Update Date : 11/30/2009

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Directions to “ DR. DENETRA JOHNSON PHARMD” Practice Location

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