Individual
CAROLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 E THOMAS RD, PHOENIX, AZ 85018-7614
(602) 840-9787
Mailing address
4515 E THOMAS RD, PHOENIX, AZ 85018-7614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016846
AZ
183500000X
Pharmacist
17403
NV
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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