Individual
JARRETT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20059-0001
(786) 718-3803
Mailing address
5107 7TH ST NW, WASHINGTON, DC 20011-4015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100003058
DC
183700000X
Pharmacy Technician
—
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
06/28/2017
Last updated
01/19/2018
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