Individual
MARK ANTHONY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3449 REZANOF DRIVE, KODIAK, AK 99615
(907) 486-9860
(907) 486-9895
Mailing address
3449 EAST REZANOF DRIVE, KODIAK, AK 99615
(907) 486-9860
(907) 486-9895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38221
FL
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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