Individual
BONITA MICHELE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 CROSSINGS CENTRE DR, SUITE A, FOREST, VA 24551
(434) 534-3350
(434) 534-3352
Mailing address
1415 CROSSINGS CENTRE DR, SUITE A, FOREST, VA 24551
(434) 534-3350
(434) 534-3352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009862
VA
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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