Individual
MR. MARK A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7026
OR
1835P1200X
Pharmacotherapy Pharmacist
Primary
7026
OR
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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