Individual provider · Type 1 NPI

Michael Robert Johnson, R.PH.

Pharmacist · Lake Station, IN

NPI number 1124322110 Active

Practice location

3500 Central Ave
Lake Station, IN 46405-2271

Fax (219) 963-1562

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26019585A (IN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124322110

Michael Robert Johnson, R.PH.'s National Provider Identifier is 1124322110, issued on Jan 5, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Station, IN. The record was last updated on Oct 1, 2025.