Scott Allen Johnson, RPH

NPI #1013293067 in East Peoria, Illinois

Provider Information

NPI Number: 1013293067
Entity Type: Individual
Name: Scott Allen Johnson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 21, 2011
Last Updated: Oct 21, 2011

Practice Location

Address: 300 N MAIN ST
City: East Peoria
State: Illinois
ZIP Code: 61611-2016
Phone: (309) 694-7661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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