Individual
DUSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-1331
Mailing address
318 LAURA SURILDA LN, ARY, KY 41712-8838
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00353267
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30217521
PHARMACY TECHNICIAN CERTIFICATION BOARD
—
Enumeration date
04/01/2024
Last updated
04/01/2024
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