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Individual

EMORY GILBERT JOHNSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(214) 914-8467
Mailing address
201 FEDERAL ST UNIT 615, PORTLAND, ME 04101-8106
(214) 914-8467

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
72986
TX
183500000X
Pharmacist
Primary
PR72077
ME

Other

Enumeration date
01/30/2020
Last updated
07/24/2024
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