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Contact Information

GARY P JOHNSON
112 MAIN ST
WINDSOR, NY13865
 Phone: 607-655-1443
 Fax: 607-655-3717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GARY P JOHNSON

NPI Number 1770667560
LBN Legal business name GARY P JOHNSON
Authorized official GARY JOHNSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 02/21/2008 - About 18 years ago
Identifiers
NY License # 022276
NY Medicaid 01516994
Other 3348326 NCPDO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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