Individual
MATTHEW HUNTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 W STUART DR, HILLSVILLE, VA 24343-1816
(276) 728-4143
Mailing address
915 W STUART DR, HILLSVILLE, VA 24343-1816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217279
VA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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