Individual
CAROL M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
601 S BLISS AVE, DUMAS, TX 79029-4434
(806) 935-2333
Mailing address
601 S BLISS AVE, DUMAS, TX 79029-4434
(806) 935-2333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16435
TX
3336C0003X
Community/Retail Pharmacy
02472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02472
PHARMACY STORE NUMBER
TX
05
—
143922
—
TX
01
—
16435
PERSONAL PHARMACY LICENSE
TX
01
—
20002809
DPS
TX
Enumeration date
03/29/2007
Last updated
09/11/2025
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