Individual
MS. MISTY ASHLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 SHERWOOD DR, BELTON, SC 29627-2331
(864) 940-1280
Mailing address
201 SHERWOOD DR, BELTON, SC 29627
(864) 940-1280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008588
SC
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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