Individual
MR. JONATHAN ALAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
340 BAGLEY CIR, MARION, VA 24354-3126
(276) 783-1215
(276) 783-8993
Mailing address
26080 CORNELIUS DR, ABINGDON, VA 24211-6362
(276) 676-0376
(276) 783-1215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010717
VA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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