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NPI Code Detail

MEDICARE: MABEL ADAMALEY-JOHNSON

MEDICARE: MABEL ADAMALEY-JOHNSON
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
1183500000XPharmacist42826TX

General Provider Information

NPI Number : 1902241854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MABEL ADAMALEY-JOHNSON
Provider Business Mailing Address
First Line : 3726 ABBEYWOOD DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5903
Country : US
Telephone Number : 713-502-5569
Fax Number : 281-412-3758
Provider Business Practice Location Address
First Line : 3550 SWINGLE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77047-3763
Country : US
Telephone Number : 713-547-1264
Fax Number : 713-547-1275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2013
Last Update Date : 05/06/2013

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Directions to “ MABEL ADAMALEY-JOHNSON ” Practice Location

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