Individual
DAPHNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 E RUST ST, JACKSONVILLE, TX 75766
(430) 435-1888
(430) 435-1988
Mailing address
2118 E RUSK ST, JACKSONVILLE, TX 75766-9052
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
168413
TX
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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