Provider Demographics
NPI:1215159157
Name:JOHNSON, PETER NEAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:NEAL
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 N. STONEWALL AVENUE
Mailing Address - Street 2:THE UNIVERSITY OF OKLAHOMA COLLEGE OF PHARMACY
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73190
Mailing Address - Country:US
Mailing Address - Phone:405-271-2730
Mailing Address - Fax:405-271-6430
Practice Address - Street 1:1110 N. STONEWALL AVENUE
Practice Address - Street 2:THE UNIVERSITY OF OKLAHOMA COLLEGE OF PHARMACY
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73190
Practice Address - Country:US
Practice Address - Phone:405-271-2730
Practice Address - Fax:405-271-6430
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK138981835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy