Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JOHNSON
ActiveMARY JOHNSON is a Pharmacotherapy Specialist healthcare provider located in ST CHARLES, Illinois. NPI 1467868414 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · ST CHARLES, IL
Registration Details
- NPI Number
- 1467868414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2014 (12.143872442438 yrs)
- Last Updated
- Jul 9, 2014
- License
-
051289349 (IL)
Practice Information
- Address
-
855 S RANDALL RDST CHARLES, IL, 601741570Browse IL providers · Browse ZIP 60174
- Phone
- 6164309555
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
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.