NPI 1114252350

Kevin Johnson, RPH

Practitioner Pharmacist Queen Creek, AZ

Practice location

Address: 542 E Hunt Hwy, Queen Creek, AZ 85143-5212
Phone: (480) 888-1781
Fax: (480) 888-1786

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence S014772 (AZ)

Other Pharmacist providers in Arizona →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 051035038 (IL)

Registry record

NPI: 1114252350
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2009
Record last updated: 6 Oct 2009

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.