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Individual

JACOB M. JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM D.

Contact information

Practice address
264 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 245-4446
(256) 245-4484
Mailing address
196 SUNSET LAKE DR, CHELSEA, AL 35043-3210
(256) 245-4446
(256) 245-4484

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14796
AL

Other

Enumeration date
07/07/2005
Last updated
07/08/2007
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