IndividualActive
Scott Johnson, RPH
NPI 1013293067 · Pharmacist · East Peoria, IL
Scott Johnson, RPH is a Pharmacist provider in East Peoria, IL (NPI 1013293067).
Provider details
- NPI number
- 1013293067
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051035316 (IL)
Practice location
300 N Main St
East Peoria, IL 61611-2016
Phone: (309) 694-7661
Fax: (309) 694-8706
Street-level locationGet directions
Mailing address
612 Taylor St
Morton, IL 61550-1766
Registry dates
- Enumerated
- 2011-10-21
- Last updated
- 2011-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.