Individual
BRETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
471 WEAVERVILLE RD, WOODFIN, NC 28804-1120
(828) 645-2498
Mailing address
12 IVINGTON CIR APT 104, ASHEVILLE, NC 28803-4572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27217
NORTH CAROLINA PHARMACIST LICENSE
NC
Enumeration date
05/29/2019
Last updated
05/29/2019
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