Individual
JERRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4004 LAKE ADGER PKWY, MILL SPRING, NC 28756-4800
(828) 899-8974
(828) 894-8975
Mailing address
4004 LAKE ADGER PKWY, MILL SPRING, NC 28756-4800
(828) 899-8974
(828) 894-8975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420605
NABP
SC
Enumeration date
08/10/2015
Last updated
08/10/2015
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