Individual
THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
12119 S 213TH AVE, GRETNA, NE 68028-3783
(402) 259-0601
(402) 506-7933
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16660
NE
Other
Enumeration date
03/13/2020
Last updated
02/14/2024
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