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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY JOHNSON, PHARM.D.

Active Sole Proprietor

KELLY JOHNSON, PHARM.D. is a Pharmacist Clinician (PhC) healthcare provider located in PARK RIDGE, Illinois. NPI 1063689537 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · PARK RIDGE, IL

Registration Details

NPI Number
1063689537
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2008 (18.232561841648 yrs)
Last Updated
May 13, 2008
Licenses
051290309 (IL)
RPH020409 (GA)
0202206314 (VA)
Sole Proprietor
Yes

Practice Information

Address
1775 DEMPSTER ST
DEPARTMENT OF PHARMACY
PARK RIDGE, IL, 600681143
Browse IL providers · Browse ZIP 60068
Phone
8477235890
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in PARK RIDGE, IL

Name Credential NPI
MR. GREG PANKOW PHARMACIST 1871874305
NISHAN PAPAZIAN 1174118533
JELENA ANTIC PHARMD 1134842875
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.