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Search › Missouri › 101YP2500X

Nikolaus Johnson

NPI 1134508575 · on the registry since 2015

Practice

Address
3050 S National Ave Ste 104
Springfield, MO 65804
Phone
(417) 597-4572
Fax
(417) 882-1507
Organisation at this address
Mo C&P Llc
Amedisys Missouri, L.L.C.
Super D Drugs Acquisition Co
Grove Professional Pharmacy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri