Larry Dewayne Johnson, RPH

Pharmacist · Overton, TX

Individual Active NPI

NPI number 1962081265

Practice location

104 W Henderson St
Overton, TX 75684-1613
Phone
(903) 834-0154

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NPI record

NPI
1962081265
Entity type
Individual (Type 1)
Enumeration date
April 5, 2021
Last updated
April 5, 2021
Certified
April 5, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 30241 TX

Mailing address

9921 Linden Lea Rd
Flint, TX 75762-6704
Phone
(903) 312-1058

About Larry Johnson

Larry Dewayne Johnson, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 104 W Henderson St, Overton, TX 75684-1613. The NPI number 1962081265 was assigned on April 5, 2021 and the record was last updated on April 5, 2021.

Larry Johnson lists a license in the registry: #30241 (TX) 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 Larry Dewayne Johnson, RPH?

The NPI number is 1962081265.

What is the phone number of Larry Johnson?

The phone number listed for the practice location is (903) 834-0154.

Where is Larry Johnson located?

104 W Henderson St, Overton, TX 75684-1613.

What is the taxonomy code for Larry 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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