Individual
DEBORAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
633 W TIETAN ST, WALLA WALLA, WA 99362-4329
(509) 529-1570
Mailing address
4008 LAREDO DR, PASCO, WA 99301-8246
(830) 220-3213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60862972
WA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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