Individual
JILL RENEE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1101 VETERANS DR, PHARMACY SERVICE #119-CDD, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 281-3933
Mailing address
1101 VETERANS DR, PHARMACY SERVICE #119-CDD, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 281-3933
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
012608
KY
1835P1200X
Pharmacotherapy Pharmacist
10509
TN
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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