Individual
BRIAN L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5593
Mailing address
P.O. BOX 204, 70 NORTH MAIN STREET, APT 3, BETHEL, VT 05032
(802) 392-1028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3474
NH
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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