Dallisa Johnson, CPHT-ADV
Dallisa Johnson, CPHT-ADV is a Pharmacy Technician in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2026
Practice location Address checks out
700 S Main StMoscow, ID 83843-3046
Phone: (208) 883-6245
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence CT1222 (ID) |
|---|
Record details
| NPI number | 1417874066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPHT-ADV |
| Sole proprietor | Yes |
| NPI enumerated | July 3, 2026 |
| Last updated in NPPES | July 3, 2026 |
| Certification date | July 3, 2026 |
| Mailing address | 517 Elm St # 194, Troy, ID 83871-0077 |
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