Individual
WILLIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 SYLAMORE AVE, MOUNTAIN VIEW, AR 72560-8607
(870) 269-4295
Mailing address
409 SYLAMORE AVE, MOUNTAIN VIEW, AR 72560-8607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12283
AR
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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