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Dr. Jenilee Johnson, PharmD

Pharmacist in Blackfoot, ID. Individual provider (NPI-1).

NPI number1295542280
StatusActive
Last updated in NPPESDec 13, 2024

Details

NPI
1295542280
Entity type
Individual (NPI-1)
Name
Dr. Jenilee Johnson
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 13, 2024
Certification date
Dec 13, 2024
Last updated
Dec 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistP6554IDYes

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Phone 208-785-3866

Mailing address

5785 S 5th Ave Apt D
Pocatello, ID 83204-2348

Phone 208-251-3422

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