Individual
PHILLIP A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
705 S BROADWAY ST, GEORGETOWN, KY 40324-1164
(502) 863-9823
(502) 863-2976
Mailing address
511 CRUMBAUGH RD, GEORGETOWN, KY 40324-9764
(859) 361-0363
(502) 863-2976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010862
KY
Other
Enumeration date
11/17/2020
Last updated
11/18/2020
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