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Individual

DR. MARQUIS DEON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4627 N MAIN ST, COLUMBIA, SC 29203-5980
(803) 786-1106
Mailing address
1051 SOUTHERN DR UNIT 408, COLUMBIA, SC 29201-5191
(803) 566-9004

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37125
SC

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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