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NPI Code Detail

MEDICARE: DR. ELIZABETH JOHNSON PHARMD

MEDICARE: DR. ELIZABETH 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
1183500000XPharmacistPS32873FL

General Provider Information

NPI Number : 1831437342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH JOHNSON PHARMD
Provider Business Mailing Address
First Line : 1313 S DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33629-5010
Country : US
Telephone Number : 813-833-4094
Fax Number :
Provider Business Practice Location Address
First Line : 1313 S DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33629-5010
Country : US
Telephone Number : 813-833-4094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2013
Last Update Date : 01/18/2013

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