Individual
DR. NOELLE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(843) 252-3749
Mailing address
1907 HOUGHTON DR, CHARLESTON, SC 29412-2939
(438) 252-3749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20643
IA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
20643
IA
1835P2201X
Ambulatory Care Pharmacist
Primary
P10434
ID
Other
Enumeration date
08/21/2007
Last updated
01/17/2023
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