NPI 1528467289

Dorothy Laura Johnson

Organisation Non-Pharmacy Dispensing Site Bellevue, WA

Practice location

Address: 5611 119th Ave SE Suite 4, Bellevue, WA 98006-3799
Phone: (425) 562-9355
Mailing address: 2980 N Beverly Glen Cir Suite # 301, Los Angeles, CA 90077-1726

Authorised official

Name: Dorothy L. Johnson
Title: Owner
Phone: (425) 562-9355

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence NT00000639 (WA)

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1528467289
Entity type: Organization
NPI issued: 19 Aug 2014
Record last updated: 19 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.