Johnson, Patrice Lanae
Johnson, Patrice Lanae is an sole proprietor health care provider with primary practice located at 13601 Kenton Ave , Crestwood IL 60418-1938. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Patrice Lanae can be contacted via phone (708) 926-7270.Contact Information
Primary practice address
13601 Kenton Ave
Crestwood IL 60418-1938
Phone: (708) 926-7270
Fax: (855) 793-8197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051-039374 | Illinois |
Profile Details
| NPI number | 1497340236 |
|---|---|
| LBN Legal business name | Johnson, Patrice Lanae |
| Credentials | RPH, PMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2021 |
| Last updated | Mar 3rd, 2021 - about 3 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.
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