Individual
KATLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-5006
(843) 573-4776
Mailing address
2056 PROMENADE CT, MT PLEASANT, SC 29466-7231
(843) 860-1856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42241
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29466
—
SC
Enumeration date
12/13/2019
Last updated
12/13/2019
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