Individual
GREGORY DEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3608 S LAFOUNTAIN ST, KOKOMO, IN 46902-3809
(765) 455-2191
Mailing address
3608 S LAFOUNTAIN ST, KOKOMO, IN 46902-3809
(765) 455-2191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023117A
IN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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