Derek Johannson

NPI 1720370448 · on the registry since 2011

Practice

Address: 432 N Main St
Alturas, CA 96101
Phone: (530) 233-3113
Fax: (530) 233-3140
Organisation at this address: Thrifty Payless Inc
Modoc Family Pharmacy Inc
Modoc Family Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-05-12

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 California