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Individual

MRS. ALVENA S JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH.

Contact information

Practice address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1735
Mailing address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1735

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 19270
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS 19270
BOARD OF PHARMACY FLORIDA
FL
Enumeration date
12/18/2007
Last updated
12/18/2007
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