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NPI Code Detail

MEDICARE: JENNIFER LEIGH JOHNSON-CRAFT PHARM.D., BCPS

MEDICARE: JENNIFER LEIGH JOHNSON-CRAFT 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 Pharmacist38573TX

General Provider Information

NPI Number : 1821083759
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEIGH JOHNSON-CRAFT PHARM.D., BCPS
Provider Business Mailing Address
First Line : 6416 BALTIC AVE
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-9438
Country : US
Telephone Number : 972-886-1340
Fax Number : 214-820-2530
Provider Business Practice Location Address
First Line : 3500 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-2096
Country : US
Telephone Number : 214-820-8980
Fax Number : 214-820-2530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 07/08/2007

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