Kelley Jean Johnson in New London - Pharmacist
Kelley Jean Johnson - NPI 1487674586
Kelley Jean Johnson is a Pharmacist in New London, Wisconsin. Kelley Jean Johnson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kelley Jean Johnson is 1487674586. The last update date is 2007-07-08.
Kelley Jean Johnson's current location address is 511 Wyman St, New London, Wisconsin. You can contact this provider via phone number 9202774847. The mailing address for Kelley Jean Johnson is 511 Wyman St, New London, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelley Jean Johnson |
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Address | 511 Wyman St, New London, Wisconsin |
Phone Number | 9202774847 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARM.D. |
NPI Number Detail
NPI Number | 1487674586 |
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Provider Enumeration Date | 2006-07-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 511 Wyman St |
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City | New London |
State | Wisconsin (WI) |
Post Code | 549611432 |
Phone Number | 9202774847 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 14643 |
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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What is the unique 10-digit identifier code issued to Kelley Jean Johnson by the Centers for Medicare & Medicaid Services?
The Kelley Jean Johnson has been assigned the NPI (National Provider Identifier) 1487674586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kelley Jean Johnson's physical address?
The Kelley Jean Johnson is physically located at 511 Wyman St, in the city of New London, WI, with the postal code 549611432.
What is Kelley Jean Johnson's area of expertise and its corresponding taxonomy classification?
The Kelley Jean Johnson's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kelley Jean Johnson receive its 1487674586 assignment from the Centers for Medicare & Medicaid Services?
The Kelley Jean Johnson was assigned its 1487674586 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the Kelley Jean Johnson's details last updated?
The information pertaining to the Kelley Jean Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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