Individual
DR. EVAN PATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4500 12TH STREET EXT, WEST COLUMBIA, SC 29172-3025
(803) 462-5005
(803) 926-0674
Mailing address
4500 12TH STREET EXT, WEST COLUMBIA, SC 29172-3025
(803) 462-5005
(803) 926-0674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37430
SC
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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