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Brian A Johnson Md Pc
Non-Pharmacy Dispensing Site in Winamac, Indiana
NPI 1467535799

Brian A Johnson Md Pc is a Non-Pharmacy Dispensing Site based in Winamac, IN. Brian A Johnson Md Pc practices in Winamac, IN. The NPI Number for Brian A Johnson Md Pc is 1467535799 and holds a License No. 5003424A (Indiana).

The current practice location address for Brian A Johnson Md Pc is 613 Terrace Dr, Winamac, IN and can be reached out via phone at 574-946-6644.

Location: 613 Terrace Dr, Winamac, IN, 46996-1111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467535799
Provider Name
Brian A Johnson Md Pc
Credential
Provider Entity Type
Organization
Address
613 Terrace Dr, Winamac, IN, 46996-1111
Phone Number
574-946-6644
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1535561 01 OTHER ID NUMBER-COMMERCIAL NUMBER
100210710 05 IN
institution
Provider Business Practice Location Address Details
Address
613 Terrace Dr
City
Winamac
State
Indiana
Zip
46996-1111
Phone Number
574-946-6644
Fax Number
person
Provider Business Mailing Address Details
Address
613 Terrace Dr
City
Winamac
State
Indiana
Zip
46996-1111
Phone Number
574-946-6644
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
5003424A (Indiana)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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