Individual
BESSIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MAIN ST, WINDSOR, NY 13865-4129
(607) 655-1443
Mailing address
112 MAIN ST, P.O.BOX 100, WINDSOR, NY 13865-4129
(607) 655-1443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028313
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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