Johnson, Cary Dale
Johnson, Cary Dale is an sole proprietor health care provider with primary practice located at 10402 Al Highway 168 , Boaz AL 35957-1951. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Johnson, Cary Dale can be contacted via phone (256) 593-6546.Contact Information
Primary practice address
10402 Al Highway 168
Boaz AL 35957-1951
Phone: (256) 593-6546
Fax: (256) 593-3137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7016 | Alabama |
Profile Details
| NPI number | 1962727677 |
|---|---|
| LBN Legal business name | Johnson, Cary Dale |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2010 |
| Last updated | Apr 8th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962727677 | NPPES |
| Alabama | MEDICAID | 100001098 | |
| Alabama | MEDICAID | 1299553 |
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