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Individual

MRS. DARA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT, RPT

Contact information

Practice address
3135 STATE ROAD 580, SUITE 12, SAFETY HARBOR, FL 34695-4976
(727) 259-2000
(727) 259-2001
Mailing address
3135 STATE ROAD 580, SUITE 12, SAFETY HARBOR, FL 34695-4976
(727) 259-2000
(727) 259-2001

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT29567
FL

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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