Individual
CHRISSHAWN-DA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 US HWY 52, LAKE CITY, SC 29560
(843) 394-8125
(843) 394-8303
Mailing address
4300 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28863
NC
183500000X
Pharmacist
Primary
41956
SC
Other
Enumeration date
08/14/2019
Last updated
05/13/2025
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