Individual
LISA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3330 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-5617
(757) 486-1072
Mailing address
1605 ASHTON DR, VIRGINIA BEACH, VA 23464-7704
(757) 486-1072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210160
VA
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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