Johnson, Latrisha Ann
Johnson, Latrisha Ann is an individual health care provider with primary practice located at 3955 Phelan Blvd , Beaumont TX 77707-2223. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Johnson, Latrisha Ann can be contacted via phone (409) 833-1298.Contact Information
Primary practice address
3955 Phelan Blvd
Beaumont TX 77707-2223
Phone: (409) 833-1298
Fax: (409) 833-1667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 112497 | Texas |
Profile Details
| NPI number | 1942858741 |
|---|---|
| LBN Legal business name | Johnson, Latrisha Ann |
| Credentials | CPHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2019 |
| Last updated | Aug 27th, 2019 - about 5 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 | 1942858741 | NPPES |
| Texas | Other | 112497 | STATE BOARD REGISTRATION |
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