Individual provider · Type 1 NPI

Tominique Latrice Johnson

Pharmacist · Chicago, IL

NPI number 1477958544 Active

Practice location

3401 W Roosevelt Rd
Chicago, IL 60624-4339

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.298046 (IL)

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 1477958544

Tominique Latrice Johnson's National Provider Identifier is 1477958544, issued on Oct 30, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chicago, IL. The record was last updated on Oct 30, 2014.