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A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI Number | 1467535799 |
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| LBN Legal business name | BRIAN A JOHNSON MD PC | ||||||||||||
| Authorized official | DIRENDIA SHACKELFORD - (MANAGED CARE SPECIALIST) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/23/2006 | ||||||||||||
| Last updated | 06/20/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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BRIAN A JOHNSON MD PC
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BRIAN A JOHNSON MD PC