NPI 1023390739

Gregory Dean Johnson, RPH

Practitioner Pharmacist Kokomo, IN

Practice location

Address: 3608 S Lafountain St, Kokomo, IN 46902-3809
Phone: (765) 455-2191

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26023117A (IN)

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Registry record

NPI: 1023390739
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2011
Record last updated: 20 Sep 2011

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.