Robert Earl Johnson in Fortuna - Pharmacist
Robert Earl Johnson - NPI 1942372883
Robert Earl Johnson is a Pharmacist in Fortuna, California. Robert Earl Johnson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Robert Earl Johnson is 1942372883. The last update date is 2007-07-09.
Robert Earl Johnson's current location address is 1058 Main St, Fortuna, California. You can contact this provider via phone number 7077254431 and fax number 7077252671. The mailing address for Robert Earl Johnson is 1058 Main St, Fortuna, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Earl Johnson |
|---|---|
| Address | 1058 Main St, Fortuna, California |
| Phone Number | 7077254431 |
| Fax Number | 7077252671 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1942372883 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1058 Main St |
|---|---|
| City | Fortuna |
| State | California (CA) |
| Post Code | 955402009 |
| Phone Number | 7077254431 |
| Fax Number | 7077252671 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 35667 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 544735 | CA | NCPDP | |
| PHA372680 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert Earl Johnson by the Centers for Medicare & Medicaid Services?
The Robert Earl Johnson has been assigned the NPI (National Provider Identifier) 1942372883 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert Earl Johnson?
The Robert Earl Johnson is situated at 1058 Main St, in the city of Fortuna, state of CA, with the zip code 955402009.
What is the Robert Earl Johnson's specialty and taxonomy code?
The Robert Earl Johnson's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Robert Earl Johnson receive its 1942372883 assignment from the Centers for Medicare & Medicaid Services?
The Robert Earl Johnson was assigned its 1942372883 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information regarding Robert Earl Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Earl Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.