Individual
BURTON LEROY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
700 FREDERICK BLVD, PORTSMOUTH, VA 23707-3314
(757) 391-9123
Mailing address
1800 TIMBERWOOD LN, VIRGINIA BEACH, VA 23454-2842
(757) 236-4260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009966
VA
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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