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Individual

DEBORAH ANITA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
91-2117 KAIOLI ST, APT. 2703, EWA BEACH, HI 96706-6192
(808) 446-5862
Mailing address
91-2117 KAIOLI ST, APT. 2703, EWA BEACH, HI 96706-6192
(808) 446-5862

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3359
HI

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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