Johnson, Kyle
Johnson, Kyle is an individual health care provider with primary practice located at 161 N Walmart Dr , Harrison AR 72601-1960. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Johnson, Kyle can be contacted via phone (870) 741-2327.Contact Information
Primary practice address
161 N Walmart Dr
Harrison AR 72601-1960
Phone: (870) 741-2327
Fax: (870) 741-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PD09897 | Arkansas |
Profile Details
| NPI number | 1366042855 |
|---|---|
| LBN Legal business name | Johnson, Kyle |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2020 |
| Last updated | Oct 26th, 2020 - about 4 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 | 1366042855 | NPPES |
| Arkansas | Other | 126405 | NABP |
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