Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 US ROUTE 20, WATERLOO, NY 13165-9453
(315) 539-5056
Mailing address
7 JOHNSTON ST, SENECA FALLS, NY 13148-1205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063266
NY
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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