Individual
MR. HERBERT DALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RPH
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
(606) 526-8338
Mailing address
1218 OAK RIDGE RD, CORBIN, KY 40701-6294
(606) 528-5943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8024
KY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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