Individual
DR. DEJA VONELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
515 E EMERALD LAKE DR, SUMTER, SC 29153-7427
(803) 469-7178
(803) 469-7183
Mailing address
515 E EMERALD LAKE DR, SUMTER, SC 29153-7427
(803) 469-7178
(803) 469-7183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10750
SC
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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