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Individual

JENNIFER ELLEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2339 GALENA PIKE, WEST PORTSMOUTH, OH 45663-6211
(740) 858-2228
Mailing address
74 MCDANIEL RD, MC DERMOTT, OH 45652-8962
(740) 357-8844

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03218176
OH

Other

Enumeration date
07/13/2017
Last updated
06/16/2018
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