NPI 1013507979

Jerod Alan Johnson

Practitioner Pharmacy Technician Omaha, NE

Practice location

Address: 11838 Arbor St, Omaha, NE 68144-2937
Phone: (402) 330-2860

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 1031 (NE)

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Registry record

NPI: 1013507979
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2021
Record last updated: 24 Jan 2021

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.