Individual
DR. ROBERT BLAKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2425 DAVE WARD DR STE 602, CONWAY, AR 72034-8685
(501) 336-8188
Mailing address
1400 CROSSPOINT RD, CONWAY, AR 72034-8422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12300
AR
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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