Individual
BREAUNNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 WHITESBURG PLAZA, WHITESBURG, KY 41858
(606) 633-3120
Mailing address
350 WHITESBURG PLAZA, WHITESBURG, KY 41858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024621
KY
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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