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Individual

NATHANIEL B JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
24 LITHGOW ST, WINSLOW, ME 04901-7149
(207) 859-9336
(207) 859-9345
Mailing address
2007 N BELFAST AVE, AUGUSTA, ME 04330-4363
(207) 622-2626

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR46166
ME

Other

Enumeration date
04/23/2017
Last updated
04/23/2017
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