Individual
DR. DAVIDINE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., R.PH.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-4555
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19517
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711598
—
IA
Enumeration date
04/24/2007
Last updated
05/14/2010
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