Individual
AMANDA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
302 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9349
(303) 757-8952
Mailing address
302 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9349
(303) 757-8952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009343
WV
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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