Jacklyn Johnson

Pharmacist · Park Ridge, IL

Individual Active NPI

NPI number 1689020216

Practice location

481 Busse Hwy
Park Ridge, IL 60068-3252
Phone
(847) 696-3680

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NPI record

NPI
1689020216
Entity type
Individual (Type 1)
Enumeration date
May 12, 2016
Last updated
May 12, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051298966 IL

About Jacklyn Johnson

Jacklyn Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 481 Busse Hwy, Park Ridge, IL 60068-3252. The NPI number 1689020216 was assigned on May 12, 2016 and the record was last updated on May 12, 2016.

Jacklyn Johnson lists a license in the registry: #051298966 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacklyn Johnson?

The NPI number is 1689020216.

What is the phone number of Jacklyn Johnson?

The phone number listed for the practice location is (847) 696-3680.

Where is Jacklyn Johnson located?

481 Busse Hwy, Park Ridge, IL 60068-3252.

What is the taxonomy code for Jacklyn Johnson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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