Individual
NATHANIEL LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(574) 372-0000
Mailing address
430 KERR IS N, ROME CITY, IN 46784-9675
(260) 438-9839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030836A
IN
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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