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Individual

MR. ROBERT DANIEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
903 E FORT AVE, BALTIMORE, MD 21230-4762
(410) 962-5546
(410) 962-0577
Mailing address
10401 OLD GEORGETOWN RD #205, PATIENT PHARMACY, BETHESDA, MD 20814
(301) 571-0860
(301) 571-0850

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
019841
GA
183500000X
Pharmacist
09458
MD
183500000X
Pharmacist
113415
MN
183500000X
Pharmacist
Primary
5302023473
MI
183500000X
Pharmacist
532023473
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019841
PHARMACIST
GA
01
09458
PHARMACIST
MD
01
113415
PHARMACIST
MN
01
5302023473
PHARMACIST
MI
Enumeration date
05/13/2008
Last updated
02/27/2017
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