IndividualActive
Bailey Johnson
NPI 1811527104 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Traverse City, MI
Provider details
- NPI number
- 1811527104
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5315212519 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
626 W Front St
Traverse City, MI 49684-2210
Phone: (231) 935-0185
Approximate (ZIP-level) locationGet directions
Mailing address
3813 Timberwolf Dr
Traverse City, MI 49684-9005
Registry dates
- Enumerated
- 2020-01-25
- Last updated
- 2020-01-25
- Certified
- 2020-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.