Individual
DR. CHARLES ANTHONY JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 MOUNTAIN BLVD, OAKLAND, CA 94611-2807
(510) 339-8535
Mailing address
1100 WEBSTER ST APT 635, OAKLAND, CA 94607-4699
(614) 787-0936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86016
CA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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