Individual
ELIZABETH RAE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 RIVER RD, MCINTOSH, AL 36553
(251) 944-2563
Mailing address
PO BOX 743, MOUNT VERNON, AL 36560-0743
(251) 829-9499
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T07170
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TECH NUMBER
T07170
AL
Enumeration date
12/01/2006
Last updated
07/08/2007
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