Individual
AVENELLE K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1179 VESTAL AVE STE 1, BINGHAMTON, NY 13903-1606
(607) 723-7584
(607) 773-0936
Mailing address
56 JOHNSON AVE, BINGHAMTON, NY 13905-4223
(607) 297-8702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065150
NY
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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