Individual
MICHAEL KENNETH JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 CHARWOOD DR, ABINGDON, VA 24210-2576
(276) 676-2900
(276) 676-2915
Mailing address
101 CHARWOOD DR, ABINGDON, VA 24210-2576
(276) 676-2900
(276) 676-2915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011066
VA
183500000X
Pharmacist
PS29942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4835154
NCPDP
VA
Enumeration date
04/13/2006
Last updated
07/08/2007
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