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NPI Code Detail

MEDICARE: DR. MICHAEL W YOHANNES PHARMD

MEDICARE: DR. MICHAEL W YOHANNES 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
1183500000XPharmacist26025166AIN

General Provider Information

NPI Number : 1821693847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL W YOHANNES PHARMD
Provider Business Mailing Address
First Line : 2330 E 46TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1452
Country : US
Telephone Number : 317-253-1636
Fax Number :
Provider Business Practice Location Address
First Line : 2330 E 46TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1452
Country : US
Telephone Number : 317-253-1636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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