Individual
ROYAL WILLIAM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 N MAIN ST, HAILEY, ID 83333-8608
(208) 788-6709
Mailing address
911 N MAIN ST, HAILEY, ID 83333-8608
(208) 788-6709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8083
ID
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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