Individual
DR. JONATHAN CHRIS JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2695
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6633
MT
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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