Jerrell Jerome Johnson in Little Rock - Pharmacist

Jerrell Jerome Johnson - NPI 1720192263

Jerrell Jerome Johnson is a Pharmacist in Little Rock, Arkansas. Jerrell Jerome Johnson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jerrell Jerome Johnson is 1720192263. The last update date is 2007-07-08.

Jerrell Jerome Johnson's current location address is 4300 W 7th St, Little Rock, Arkansas. You can contact this provider via phone number 5012571000 and fax number 5012576305. The mailing address for Jerrell Jerome Johnson is 4300 W 7th St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerrell Jerome Johnson
Address 4300 W 7th St, Little Rock, Arkansas
Phone Number 5012571000
Fax Number 5012576305
Sole Proprietor N
Credentials PHARMD

NPI Number Detail

NPI Number 1720192263
Provider Enumeration Date 2006-08-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4300 W 7th St
City Little Rock
State Arkansas (AR)
Post Code 722055446
Phone Number 5012571000
Fax Number 5012576305

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No PD09324
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Jerrell Jerome Johnson

What is the unique identifier code issued to Jerrell Jerome Johnson by the Centers for Medicare & Medicaid Services (CMS)?

The Jerrell Jerome Johnson has been assigned the NPI (National Provider Identifier) 1720192263. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jerrell Jerome Johnson is located?

The Jerrell Jerome Johnson is situated at the following address: 4300 W 7Th St, Little Rock, AR, 722055446.

What is Jerrell Jerome Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerrell Jerome Johnson is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.

On what date did Jerrell Jerome Johnson receive its 1720192263 assignment from the Centers for Medicare & Medicaid Services?

The Jerrell Jerome Johnson was assigned its 1720192263 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jerrell Jerome Johnson most recently updated or revised?

The details related to Jerrell Jerome Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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