Individual provider · Type 1 NPI

Deatra L. Johnson, PharmD

Pharmacist · Jacksonville, FL

NPI number 1679169866 Active

Practice location

6005 Saint Augustine Rd
Jacksonville, FL 32217-2139

Mailing address

11502 Tori Ln
Jacksonville, FL 32218-8833

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS52182 (FL)

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 1679169866

Deatra L. Johnson, PharmD's National Provider Identifier is 1679169866, issued on Dec 12, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 12, 2020.